Organization Active NPI

Dr J General Surgery PLLC

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1013035666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8688 Issued in MT
Legal business name
DR J GENERAL SURGERY PLLC
Practice address
2835 Fort Missoula Rd Ste 306
Missoula, MT 59804-7424
Phone
(406) 541-2570
Fax
(406) 541-2573
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin H Janczewski, MDNPI 1457303265
Title
Surgeon Practice Administrator
Phone
(406) 541-2570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8688 MT Primary

Addresses

Primary practice location

2835 Fort Missoula Rd Ste 306
Missoula, MT 59804-7424

Mailing address

2835 Fort Missoula Road Ste 306
Missoula, MT 59804
Phone (406) 541-2570

National Provider Directory

National Provider Directory

Locations

2835 Fort Missoula Rd
Ste 306
Missoula, MT 59804
Phone (406) 327-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16803/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013035666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA ROAD STE 306",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-541-2570",
            "fax_number": "406-541-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 306",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-541-2570",
            "fax_number": "406-541-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J GENERAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANCZEWSKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SURGEON PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "406-541-2570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MT",
            "license": "8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.