Ravalli Orthopedics & Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

RAVALLI ORTHOPEDICS & SPORTS MEDICINE PC

Practice address

312 Fair Grounds Road
Hamilton, MT 59840

Phone

(406) 361-7680

Fax

(406) 363-4060

NPI assigned

Aug 28, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory M Behm, MD

Title

President Director

Phone

(406) 363-2391

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ezra Nolan, PA-C

  • Physician Assistant
  • Hamilton, MT
  • NPI 1669464392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1932217114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 FAIR GROUNDS ROAD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-361-7680",
            "fax_number": "406-363-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FAIR GROUNDS ROAD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-361-7680",
            "fax_number": "406-363-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVALLI ORTHOPEDICS & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "406-363-2391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "0292",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "8555",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157658",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Randazzo, LCSW
• Amy Rau, LCSW
• Ravalli County (Ravalli County Public Health)
• Ravalli County Council on Aging
• Ravalli Family Medicine, LLC
• Ravalli Services Corporation
• Scott Michael Raveling
• Read Counseling PLLC
• Brieanna Chausee Read
• Maria Redfern, P.T.

• Orthopaedic Surgery Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Orthopaedic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.