Mark S Vantassell (NPI# 1750672960, PAC ID# 5698913408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1750672960 |
| PAC ID by PECOS | 5698913408 |
| Professional Enrollment ID | I20170707001667 |
| Full Name | Mark S Vantassell |
| Organization Legal Name | RADIOLOGY MONTANA PC |
| Address |
1101 26th St S Great Falls MT 59405-5161 |
| Phone Number | 4067318401 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5597730267 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270012 | BENEFIS HOSPITALS INC |
| 270086 | GREAT FALLS CLINIC HOSPITAL |
| 271334 | LIBERTY MEDICAL CENTER |
| 271307 | BENEFIS TETON MEDICAL CENTER |
| 271306 | MOUNTAINVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1101 26th St S, Great Falls, MT 59405-5161 | 4067318401 | RADIOLOGY MONTANA PC |
| Organization Legal Name | RADIOLOGY MONTANA PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew C Baugh | Interventional Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Anastasia M Balius | Interventional Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Matthew Wetzel | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Michael J Walters | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Chad Reihm | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Jeffrey R Kessler | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Tyler L Will | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| James H Daniel Jr. | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| George Ro | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| James T Harris | Diagnostic Radiology | Radiology Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Street Address |
1101 26TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip | 59405-5161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmund J Brennan | Cardiovascular Disease (cardiology) | Benefis Hospitals, Inc. | 1101 26th St S, Fl 5, Great Falls, MT 59405-5161 |
| Emma Sargsyan | Family Medicine | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| Charles S Charman | Hospitalist | Cogent Healthcare of Montana PC | 1101 26th St S, Great Falls, MT 59405-5161 |
| Steven C Bailey | Thoracic Surgery | Benefis Hospitals, Inc. | 1101 26th St S, Fl 5, Great Falls, MT 59405-5161 |
| Joseph Reyna | Certified Registered Nurse Anesthetist (crna) | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| Morris Jessop | Urology | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| Patrick Hugh Smith | Nurse Practitioner | Benefis Hospitals, Inc. | 1101 26th St S, Fl 5, Great Falls, MT 59405-5161 |
| James D Hinde | Physical Medicine and Rehabilitation | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| David E Anderson | Pulmonary Disease | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| Milissa A Priebe | Nurse Practitioner | Benefis Hospitals, Inc. | 1101 26th St S, Great Falls, MT 59405-5161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Jimmerson | Chiropractic | 307 9th St S, Great Falls, MT 59405-2105 | |
| Crystal V Jimmerson | Chiropractic | Wellness Chiropractic Clinic PC | 307 9th St S, Great Falls, MT 59405-2105 |
| Kevin Jimmerson | Chiropractic | Wellness Chiropractic Clinic PC | 307 9th St S, Great Falls, MT 59405-2105 |
| Jordan Neiffer | Optometry | Joseph W. Vincent O.d. and Justine E. Redlin O.d. Vision Care P.C. | 523 9th St S, Great Falls, MT 59405-2113 |
| Joseph Vincent | Optometry | Joseph W. Vincent O.d. and Justine E. Redlin O.d. Vision Care P.C. | 523 9th St S, Great Falls, MT 59405-2113 |
| Gerald E Meguire | Optometry | Joseph W. Vincent O.d. and Justine E. Redlin O.d. Vision Care P.C. | 523 9th St S, Great Falls, MT 59405-2113 |
| Justine Redlin | Optometry | Joseph W. Vincent O.d. and Justine E. Redlin O.d. Vision Care P.C. | 523 9th St S, Great Falls, MT 59405-2113 |
| Laura J Weiss | Nurse Practitioner | Intermountain Planned Parenthood Inc | 211 9th St S, Great Falls, MT 59405-2115 |
| Chad L Molen | Physical Therapy | Mountain View Physical Therapy and Sports Injury Clinic Inc | 908 8th Ave S, Great Falls, MT 59405-2165 |
| Reid L Molen | Physical Therapy | Mountain View Physical Therapy and Sports Injury Clinic Inc | 908 8th Ave S, Great Falls, MT 59405-2165 |
| Find all physicians in zip 59405 | |||
| City | GREAT FALLS |
| Zip Code | 59405 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GREAT FALLS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark S Vantassell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.