Jack H Avery, RT (R) (MRI)(QM)(CT)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

1019 Issued in MT

Practice address

3510 Ptarmigan LN
Helena, MT 59602-0553

Phone

(406) 449-3750

Fax

(406) 449-3752

NPI assigned

Oct 24, 2006

Last updated

Nov 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MRI Center LLC

  dba Montana Regional Imaging Center LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Helena, MT
  • NPI 1003906413
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1962586370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5179",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596045179",
            "telephone_number": "406-449-3750",
            "fax_number": "406-449-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020553",
            "telephone_number": "406-449-3750",
            "fax_number": "406-449-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "JACK",
        "middle_name": "H",
        "credential": "RT (R) (MRI)(QM)(CT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MT",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760123",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eric Aune, PHD, NCSP
• Bailey Babin, RBT
• Alexa Babinec
• Back in Action Chiropractic, PLLC
• Backcountry Health
• Jessica Ann Elliott Bailey, M.D.

• Radiologic Technologist in Helena, MT
• Providers in Helena, MT by specialty
• Radiologic Technologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.