Provider Demographics
NPI:1225061773
Name:BILLINGS GASTROINTESTINAL ASSOCIATES, PLLP
Entity Type:Organization
Organization Name:BILLINGS GASTROINTESTINAL ASSOCIATES, PLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-238-6380
Mailing Address - Street 1:1144 N 28TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0110
Mailing Address - Country:US
Mailing Address - Phone:406-238-6380
Mailing Address - Fax:406-238-6399
Practice Address - Street 1:1144 N 28TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0110
Practice Address - Country:US
Practice Address - Phone:406-238-6380
Practice Address - Fax:406-238-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTG9909114Medicaid
MT000084062Medicare ID - Type Unspecified