Organization Active NPI

Orthopedics of Central Mt PC

  • Orthopaedic Surgery Physician
  • Lewistown, MT
National Provider Identifier
1952475469
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDICS OF CENTRAL MT PC
Practice address
310 Wendell Avenue
Suite 5
Lewistown, MT 59457-2267
Phone
(406) 538-1456
Fax
(406) 538-1422
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. William M Iannacone, MDNPI 1316033129
Title
President
Phone
(406) 538-1456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

310 Wendell Avenue
Suite 5
Lewistown, MT 59457-2267

Mailing address

310 Wendell Avenue
Suite 5
Lewistown, MT 59457-2267
Phone (406) 538-1456

Other identifiers 2

IdentifierTypeStateIssuer
610577800OtherMTDEPARTMENT OF LABOR
0000144274MedicaidMT

National Provider Directory

National Provider Directory

Locations

310 Wendell Ave
Ste 5
Lewistown, MT 59457
Phone (406) 535-6318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1952475469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVENUE",
            "address_2": "SUITE 5",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-538-1456",
            "fax_number": "406-538-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVENUE",
            "address_2": "SUITE 5",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-538-1456",
            "fax_number": "406-538-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDICS OF CENTRAL MT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "IANNACONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-538-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "610577800",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000144274",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.