JACK H AVERY


Address: 3510 Ptarmigan Ln, Helena, MT 59602-0553
Phone: 4064493750

JACK H AVERY (NPI# 1962586370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962586370
Entity Type Individual
Full Name JACK H AVERY
Credential RT (R) (MRI)(QM)(CT)
Practice Address 3510 Ptarmigan Ln
Helena
MT 59602-0553
Mailing Address Po Box 5179
Helena
MT 59604-5179
Practice Telephone 4064493750
Practice Fax Number 4064493752
Mailing Telephone 4064493750
Mailing Fax Number 4064493752
Enumeration Date 2006-10-24
Last Update Date 2007-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 1019 MT Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 0760123 05

Other Providers JACK AVERY

NPI Name Taxonomy Address Enumeration
1306930086 Jack D. Avery Speech-Language Pathologist Minneapolis Vamc, 1 Veterans Drive, Minneapolis, MN 55417 2006-10-03
1730325986 Jack Johnson Avery IIi Case Manager/Care Coordinator 9150 Imperial Hwy Rm P-31, Downey, CA 90242-2835 2008-12-17

Office Location

Street Address 3510 PTARMIGAN LN
City HELENA
State MT
Zip Code 59602-0553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003906413 Mri Center LLC Radiologic Technologist 3510 Ptarmigan Ln, Helena, MT 59602-0553 2006-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819868 Jacob Kreamer Pharmacist 3195 E Custer Ave, Helena, MT 59602 2018-08-06
1013364819 Sierra Richmond Physical Therapist 3345 Colton Dr Ste A, Helena, MT 59602 2016-05-21
1932556065 First Words Speech and Language Clinic Speech-Language Pathologist 3774 Juliet Drive, Helena, MT 59602 2016-05-18
1568837730 Leigh Fahlquist, LLC Community/Behavioral Health 1159 Toucan Rd., Helena, MT 59602 2015-12-14
1467824912 Coordicare Inc Clinic/Center 1223 Stetson Rd, Helena, MT 59602 2015-10-23
1659675197 Jesse Miller Mumford Heidi Social Worker 3240 Dredge Dr., Helena, MT 59602 2010-12-24
1194988543 Jonathan Spencer Griffin Family Medicine 1223 Stetson Rd., Helena, MT 59602 2008-07-07
1568688976 Tammie R. Espenlaub Nurse Practitioner 2029 9th Ave, Suite 1, Helena, MT 59602 2007-04-17
1780704528 Barbara Jean Bayer Acupuncturist 3404 Cooney Dr, Bldg #2, Helena, MT 59602 2007-03-29
1023134293 Brian W Abbott Neuromusculoskeletal Medicine & OMM 3150 N Montana Ave Ste A, Helena, MT 59602 2007-03-21
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578956769 Rocky Hayes Radiologic Technologist 3821 England Blvd, Missoula, MT 59808-5667 2015-03-11
1881996460 Brenda Lee Henry Radiologic Technologist 107 H. St, Verne.e Gibbs Health Center, Poplar, MT 59255 2010-12-02
1437480837 Sharon L Berglee Radiologic Technologist 321 Custer St, Wolf Point, MT 59201-1620 2010-01-25
1710462494 Danielle Marie Kautz Radiologic Technologist 3687 Veterans Dr, Fort Harrison, MT 59636-9700 2018-09-28
1871005553 Julie T.a. Smith Radiologic Technologist 35401 Mission Drive, St. Ignatius, MT 59865 2017-11-02
1932587888 Leslie S. Wells Radiologic Technologist 35401 Mission Drive, St. Ignatius, MT 59865 2015-05-12
1265823389 Theresa H. Hardy Radiologic Technologist 35401 Mission Drive, St. Ignatius, MT 59865 2015-02-11
1518213560 Sandra Lee Mcbride Radiologic Technologist 308 Mission Drive, St. Ignatius, MT 59865 2012-07-27
1669790200 Katie R. Lake Radiologic Technologist 308 Mission Drive, St Ignatius, MT 59864 2010-05-06
1992967814 Mike F Nielsen Radiologic Technologist 2800 10th Ave N, Billings, MT 59101-0703 2008-07-01
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Competitor

Search similar providers

City HELENA
Zip Code 59602

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Dataset Information

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.

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