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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 1019 | MT | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0760123 | 05 |
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 |
Street Address |
3510 PTARMIGAN LN |
City | HELENA |
State | MT |
Zip Code | 59602-0553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003906413 | Mri Center LLC | Radiologic Technologist | 3510 Ptarmigan Ln, Helena, MT 59602-0553 | 2006-10-14 |
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 |
Find all providers in zip 59602 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
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. |
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 |
Find all providers with the same taxonomy |
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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.