Providence Health & Services Mt

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

Legal business name

PROVIDENCE HEALTH & SERVICES MT

Doing business as

PMG MT Spine & Pain
Providence Medical Group Montana

Practice address

500 W Broadway St
3Rd Floor
Missoula, MT 59802-4096

Phone

(406) 327-1670

NPI assigned

Mar 6, 2009

Last updated

May 6, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH & SERVICESAs reported in NPPES

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

Authorized official

Name

Donald W Anderson Jr.

Title

Assistant Secretary Enrollment

Phone

(425) 358-9786

Specialties & licenses 2

Addresses

Other names 2

• PMG MT Spine & Pain Doing business as
• PROVIDENCE MEDICAL GROUP MONTANA Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Part of

Providence Service Corporation

Practitioners 4

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.

• Johanna Cristol Lawrence, LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1811642010
  NPD
• Alissa Monaco, APRN-FNP-C

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1396487294
  NPD
• Michael C Reed, MD

  • Cardiovascular Disease Physician
  • Missoula, MT
  • NPI 1346396967
  NPD
• Alexis Leanne Dealy, ARNP

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1255944278
  NPD

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1063653897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001 - 4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104114",
            "telephone_number": "406-327-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "3RD FLOOR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024096",
            "telephone_number": "406-327-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES MT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES",
        "enumeration_date": "2009-03-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMG MT Spine & Pain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PMG MT Spine & Pain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROVIDENCE MEDICAL GROUP MONTANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Progressive Personal Care
• Michelle Ann Proper, M.D.
• Daniel Eugene Propp, M.D.
• Deidre Mae Pross
• Providence Health & Services Mt (Providence St Patrick Hospital)
• Providence Health & Services Mt (Providence Medical Group Montana)
• Providence Health & Services Mt (PMG MT Trauma Services)
• Providence Health & Services Mt (Providence Medical Group Montana)
• Providence Health & Services Mt (St Patrick Hospital Rehab)
• Providence Health & Services Mt (PMG Mt Ihi)

• Spinal Cord Injury Medicine Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Spinal Cord Injury Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.