# CHISDAK OB-GYN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407803232
- **Authorized official:** JAMI CHISDAK M.D. (PHYSICIAN)
- **Authorized official phone:** (406) 556-4649

## Contact information

- **Practice address:** 2132 BROADWATER AVE, STE A1, BILLINGS, MT 59102-4778
- **Practice address phone:** (406) 556-4649
- **Practice address fax:** (406) 556-7083
- **Mailing address:** 1648 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8810
- **Mailing address phone:** (406) 556-4649
- **Mailing address fax:** (406) 556-7083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 9885 | MT | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 44285 | — | MT |