Phillip A Gardner, MD – Otolaryngology Physician

Key facts

NPI: 1003843897
Entity type: Individual (NPI type 1)
Primary specialty: Otolaryngology Physician 207Y00000X
License: 8225 (MT)
Practice address: 700 W Kent Ave
Missoula, MT 59801-6772
Phone: (406) 541-3277
Fax: (406) 541-3811
NPI assigned: Jun 27, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Rocky Mountain Ear Nose & Throat Center PC Otolaryngology Physician · Missoula, MT · NPI 1306857917

Medicare reassignment Care Compare group NPD MT · OTOLARYNGOLOGY
Community Hospital of Anaconda Family Medicine Physician · Anaconda, MT · NPI 1538597703

Medicare reassignment NPD MT
Marcus Daly Memorial Hospital Corporation Critical Access Hospital · Hamilton, MT · NPI 1659475846

Medicare reassignment NPD MT
Providence St Joseph Medical Center Family Medicine Physician · Polson, MT · NPI 1669655528

Medicare reassignment NPD MT
Community Hospital of Anaconda Surgery Physician · Anaconda, MT · NPI 1023623675

NPD
Community Hospital of Anaconda Surgery Physician · Anaconda, MT · NPI 1639345341

NPD
Credena Health LLC Community/Retail Pharmacy · Polson, MT · NPI 1164809778

NPD
Marcus Daly Memorial Hospital Corp Surgery Physician · Hamilton, MT · NPI 1023576956

NPD
Marcus Daly Memorial Hospital Corporation Nephrology Physician · Hamilton, MT · NPI 1235997958

NPD

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Barrett Hospital Development Corporation Critical Access Hospital · Dillon, MT · NPI 1326042078

Care Compare affiliation Hospital
Barrett Hospital Development Corporation Medicare Defined Swing Bed Hospital Unit · Dillon, MT · NPI 1326419102

Care Compare affiliation Hospital
Providence Health & Services Mt General Acute Care Hospital · Missoula, MT · NPI 1023032588

Care Compare affiliation Hospital
Providence Health & Services Mt Medical Oncology Physician · Missoula, MT · NPI 1326483587

Care Compare affiliation Hospital
Providence Health & Services Mt Anatomic Pathology & Clinical Pathology Physician · Missoula, MT · NPI 1366185928

Care Compare affiliation Hospital
Providence Health & Services Mt Psychiatric Hospital Unit · Missoula, MT · NPI 1619058302

Care Compare affiliation Hospital
RCHP Billings - Missoula LLC General Acute Care Hospital · Missoula, MT · NPI 1346642899

Care Compare affiliation Hospital
Kootenai Health, Inc. General Acute Care Hospital · Coeur D Alene, ID · NPI 1992798409

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Otolaryngology
Education: Indiana University School of Medicine, 1991
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Rocky Mountain Ear Nose and Throat Center PC (20 clinicians)

Practice addresses (Care Compare)

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937

Hospital & facility affiliations

St. Patrick Hospital Hospital · Missoula, MT · CCN 270014
Community Medical Center Hospital · Missoula, MT · CCN 270023
Kootenai Health Hospital · Coeur D'Alene, ID · CCN 130049
Barrett Hospital & Healthcare Hospital · Dillon, MT · CCN 271318

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20041122001102	MT	Practitioner - Otolaryngology	1850356569	Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
8225	MT	MD	Otolaryngology Physician

Practice roles

Organization	Specialty	Status	New patients
Community Hospital of Anaconda		Current since Aug 1, 2019	Accepting new patients
Rocky Mountain Ear Nose & Throat Center PC	Otolaryngology	Current since Aug 4, 2008	Accepting new patients
Community Hospital of Anaconda		Current	Accepting new patients
Marcus Daly Memorial Hospital Corporation		Current	Accepting new patients
Credena Health LLC		Current since Jan 1, 2017	Accepting new patients
Community Hospital of Anaconda		Current since Aug 1, 2019	Accepting new patients
Providence St Joseph Medical Center		Current since Jan 1, 2017	Accepting new patients
Marcus Daly Memorial Hospital Corporation		Current since Mar 1, 2022	Accepting new patients
Marcus Daly Memorial Hospital Corp		Current since Mar 1, 2022	Accepting new patients

Locations

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

2760 Elizabeth Warren Ave
Ste B
Butte, MT 59701
Phone (406) 792-1250

120 S 5th St
Ste 104
Hamilton, MT 59840
Phone (406) 363-3366

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste F
Hamilton, MT 59840
Phone (406) 375-2930

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Interoperability endpoints

Direct secure messaging: pgardner207212@wm.providencedirect.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician	207Y00000X	8225	MT	Yes

Addresses

Primary practice location

700 W Kent Ave
Missoula, MT 59801-6772

Mailing address

PO Box 4907
Missoula, MT 59806-4907
Phone (406) 541-3277

Other practice location 1

120 S 5th St Ste 104
Hamilton, MT 59840-2798
Phone (406) 363-3366

Other practice location 2

2760 Elizabeth Warren Ave Ste B
Butte, MT 59701-3979
Phone (406) 792-1250

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2024.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1003843897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4907",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064907",
            "telephone_number": "406-541-3277",
            "fax_number": "406-541-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-541-3277",
            "fax_number": "406-541-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S 5th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402798",
            "country_code": "US",
            "telephone_number": "406-363-3366",
            "fax_number": "406-541-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2760 Elizabeth Warren Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597013979",
            "country_code": "US",
            "telephone_number": "406-792-1250",
            "fax_number": "406-541-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

All providers in Missoula, MT · Otolaryngology Physician in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.