Organization Active NPI

Ira E. Fender MD LLC

  • Clinic/Center
  • Anaconda, MT
National Provider Identifier
1982882049
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IRA E. FENDER MD LLC
Practice address
706 E Park Ave
Anaconda, MT 59711-2551
Phone
(406) 563-5122
Fax
(406) 563-5166
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Ira E. Fender, M.D.
Title
Owner
Phone
(406) 563-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

706 E Park Ave
Anaconda, MT 59711-2551

Mailing address

706 E Park Ave
Anaconda, MT 59711-2551
Phone (406) 563-5122

National Provider Directory

National Provider Directory

Locations

207 Cherry St
Anaconda, MT 59711
Phone (406) 563-5122

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982882049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112551",
            "telephone_number": "406-563-5122",
            "fax_number": "406-563-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112551",
            "telephone_number": "406-563-5122",
            "fax_number": "406-563-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA E. FENDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-563-5122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.