| Montana Gastroenterology, Pllc | |
|
1930 W Broadway Ste A Missoula MT 59808 | |
| (406) 541-6844 | |
| (406) 541-6843 |
| Full Name | Montana Gastroenterology, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1930 W Broadway, Missoula, Montana |
| Authorized Official Name and Position | Robert Mccarville (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4178892040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Gastroenterology, Pllc 2808 S Ingram Mill Rd Bldg B Springfield MO 65804-4017 Ph: (417) 889-2040 | Montana Gastroenterology, Pllc 1930 W Broadway Ste A Missoula MT 59808 Ph: (406) 541-6844 |
| NPI Number | 1821612946 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 7618396318 |
|---|---|
| Medicare Enrollment ID | O20200930000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821612946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stephen H Abercrombie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821030230 PECOS PAC ID: 0345229316 Enrollment ID: I20040714001434 |
| Provider Name | Casey J Kolendich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669511606 PECOS PAC ID: 5496848905 Enrollment ID: I20070829000499 |
| Provider Name | Jeremy Carlisle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437398229 PECOS PAC ID: 4284781659 Enrollment ID: I20090422000368 |
| Provider Name | Kari D Deboo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780963538 PECOS PAC ID: 3971750019 Enrollment ID: I20120824000655 |
| Provider Name | Thomas E Scruggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003847104 PECOS PAC ID: 5395872345 Enrollment ID: I20121123000010 |
| Provider Name | Kevin M Kolendich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780796888 PECOS PAC ID: 3375714850 Enrollment ID: I20130614000127 |
| Provider Name | Brandon J Herres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568764173 PECOS PAC ID: 3577700665 Enrollment ID: I20140603002425 |
| Provider Name | Jeffery Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255650610 PECOS PAC ID: 3375667538 Enrollment ID: I20150106001791 |
| Provider Name | Autum Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871843953 PECOS PAC ID: 6507018561 Enrollment ID: I20150318000526 |
| Provider Name | Eric E Stone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669511689 PECOS PAC ID: 7012993504 Enrollment ID: I20150320000140 |
| Provider Name | Aparna Kulkarni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912996679 PECOS PAC ID: 1951321132 Enrollment ID: I20170213002403 |
| Provider Name | Jeff R Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356385991 PECOS PAC ID: 7113826850 Enrollment ID: I20170601001375 |
| Provider Name | Edwin Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760441224 PECOS PAC ID: 0648339739 Enrollment ID: I20190125001042 |
| Provider Name | Matthew G Struttmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386676757 PECOS PAC ID: 2365449063 Enrollment ID: I20210219001093 |
| Provider Name | Michael Dumouchel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982902367 PECOS PAC ID: 1052572195 Enrollment ID: I20210323002574 |
| Provider Name | Jeffrey T Kreikemeier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063456986 PECOS PAC ID: 7113985581 Enrollment ID: I20210923003232 |
| Provider Name | Jaclyn C Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316328115 PECOS PAC ID: 4082901343 Enrollment ID: I20220128000257 |
| Provider Name | Genna Doll Ledrew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740843978 PECOS PAC ID: 6709207822 Enrollment ID: I20220420002609 |
| Provider Name | Rocky Adams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932428851 PECOS PAC ID: 3375781685 Enrollment ID: I20220831002950 |
| Provider Name | Scott Cooper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821275900 PECOS PAC ID: 2668469750 Enrollment ID: I20240416002961 |
Tms Revitalizes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Great Northern Loop, Ste 410, Missoula, MT 59808 Phone: 406-493-1344 Fax: 406-830-3127 | |
Partnership Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Mullan Rd Ste A, Missoula, MT 59808 Phone: 406-258-4949 Fax: 406-258-4732 | |
Sentinel Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6995 Linda Vista Blvd Ste 120, Missoula, MT 59803 Phone: 406-272-6151 | |
Biome Group Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd. Bldg. 2, Ste. 203, Missoula, MT 59804 Phone: 480-628-3002 | |
Western Montana Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Greater Good Health Pc, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2230 N Reserve St Ste 110, Missoula, MT 59808 Phone: 310-658-3775 | |
Cardiopulmonary Associates Of Montana, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Spruce St, Suite A, Missoula, MT 59802 Phone: 406-329-2945 |