Active NPI
Thomas Scruggs, CRNA
- Certified Registered Nurse Anesthetist
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101158
- Practice address
- 1930 W Broadway St Ste a
Missoula, MT 59808-1960 - Phone
- (406) 541-6844
- Fax
- (406) 541-6843
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101158 | MT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | N-30039 | ID |
Addresses
Primary practice location
1930 W Broadway St Ste a
Missoula, MT 59808-1960
Mailing address
1930 W Broadway St Ste a
Missoula, MT 59808-1960
Phone (406) 541-6844
Other practice location 1
450 E Main St
Rexburg, ID 83440-2048
Phone (208) 356-3691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805979900 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.28 of 100
- Quality
- 94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-30039 | ID | MD | Certified Registered Nurse Anesthetist |
| 101158 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Montana | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Montana Hospital | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Montana Gastroenterology, PLLC | Current | Accepting new patients | |
| Madison Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Montana Endoscopy Center, PLLC | Past | Accepting new patients | |
| Visionary Surgery Center, LLC | Past | Accepting new patients |
Locations
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
30 13th St
Havre, MT 59501
Phone (406) 262-1302
500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560
1930 W Broadway St
Ste A
Missoula, MT 59808
Phone (406) 541-6844
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.
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Clinic/Center
- Missoula, MT
- NPI 1821612946
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- Anesthesiology Physician
- Great Falls, MT
- NPI 1265059869
Nurse Anesthetist, Certified Registered
-
dba Northern Montana Hospital Swing Beds
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
dba Northern Montana Hospital Emergency Medicine
- Clinic/Center
- Havre, MT
- NPI 1669447967
-
- Ambulatory Surgical Clinic/Center
- Missoula, MT
- NPI 1154945921
-
- Certified Registered Nurse Anesthetist
- Rexburg, ID
- NPI 1558392571
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1821810326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1003847104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 W BROADWAY ST STE A",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081960",
"telephone_number": "406-541-6844",
"fax_number": "406-541-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W BROADWAY ST STE A",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081960",
"telephone_number": "406-541-6844",
"fax_number": "406-541-6843"
}
],
"practiceLocations": [
{
"address_1": "450 E Main St",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "834402048",
"country_code": "US",
"telephone_number": "208-356-3691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCRUGGS",
"first_name": "THOMAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "101158",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "N-30039",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805979900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.