Provider Demographics
NPI:1497785588
Name:BILLINGS OB-GYN ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:BILLINGS OB-GYN ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJERUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-248-3609
Mailing Address - Street 1:1611 ZIMMERMAN TRL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7652
Mailing Address - Country:US
Mailing Address - Phone:406-248-3607
Mailing Address - Fax:406-248-8919
Practice Address - Street 1:1611 ZIMMERMAN TRL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7652
Practice Address - Country:US
Practice Address - Phone:406-248-3607
Practice Address - Fax:406-248-8919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTD086328207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY111688600Medicaid
MTDA1495Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MT000080206Medicare ID - Type Unspecified