Active NPI
Susan Cahill, PA-C
- Physician Assistant
- Kalispell, MT
National Provider Identifier
1023183993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 09
- Practice address
- 40 2ND St E
Suite 225
Kalispell, MT 59901-6110 - Phone
- (406) 250-4594
- Fax
- (406) 755-1645
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 09 | MT | Primary |
| Physician Assistant | 363A00000X | 000558-1 | NY |
Addresses
Primary practice location
40 2ND St E
Suite 225
Kalispell, MT 59901-6110
Mailing address
425 Sunnyview LN
Kalispell, MT 59901-3139
Phone (406) 250-4594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004301969 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 000558-1 | NY | MD | Psychoanalyst |
| 09 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023183993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013139",
"telephone_number": "406-250-4594",
"fax_number": "406-755-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 2ND ST E",
"address_2": "SUITE 225",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016110",
"telephone_number": "406-250-4594",
"fax_number": "406-755-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAHILL",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "09",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "000558-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004301969",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.