FETAL DIAGNOSTIC CENTER PC (NPI# 1306055645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306055645 |
| Entity Type | Organization |
| Organization Name | FETAL DIAGNOSTIC CENTER PC |
| Practice Address |
2900 12th Ave N Ste 130w Billings MT 59101-7595 |
| Practice Telephone | 4062375888 |
| Practice Fax Number | 4062375899 |
| Mailing Telephone | 4062375888 |
| Mailing Fax Number | 4062375899 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID NEAL JACKSON (OWNER) |
| Authorized Official Telephone | 4062385888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
8687 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0000017663 | 05 |
| Street Address |
2900 12TH AVE N STE 130W |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1093826828 | Dana P. Damron | Obstetrics & Gynecology | 801 N 29th St, Billings, MT 59101-0905 | 2006-08-31 |
| 1609838481 | Roger Lewis Wallace | Obstetrics & Gynecology | 2900 12th Ave N, Suite 130w, Billings, MT 59101-7506 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023039 | Gregory O Utter | Obstetrics & Gynecology | Community Medical Center Physician Building 3, 2835 Fort Missoula Rd. Suite 304, Missoula, MT 59804 | 2005-09-19 |
| 1053798710 | Kalispell Regional Medical Center Inc | Obstetrics & Gynecology | 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135 | 2015-05-01 |
| 1730357039 | Sina Haeri | Obstetrics & Gynecology | 905 Highland Blvd Ste 4500, Bozeman, MT 59715-6903 | 2008-02-20 |
| 1720256936 | Kalispell Regional Medical Center Inc | Obstetrics & Gynecology | 310 Sunnyview Ln, Ob Dept, Kalispell, MT 59901-3129 | 2008-02-11 |
| 1609818657 | James A Meserow | Obstetrics & Gynecology | 1401 25th St S, Great Falls, MT 59405 | 2006-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.