Active NPI
Keri F Allmacher, PA-C
- Medical Physician Assistant
- Missoula, MT
National Provider Identifier
1114015617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 329
- Practice address
- 1821 South Ave W
Ste 402
Missoula, MT 59801-6517 - Phone
- (406) 541-8512
- Fax
- (406) 541-8513
- NPI assigned
- Oct 10, 2006
- Last updated
- Mar 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 329 | MT | Primary |
Addresses
Primary practice location
1821 South Ave W
Ste 402
Missoula, MT 59801-6517
Mailing address
1821 South Ave W
Ste 402
Missoula, MT 59801-6517
Phone (406) 543-8512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97153 | Other | MT | BCBS |
| 4308378 | 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 |
|---|---|---|---|
| 329 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center Inc | Past | Accepting new patients | |
| Robert Korenberg MD PC | Past | Accepting new patients | |
| Robert J Korenberg MD | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1114015617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 SOUTH AVE W",
"address_2": "STE 402",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016517",
"telephone_number": "406-543-8512",
"fax_number": "406-541-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 SOUTH AVE W",
"address_2": "STE 402",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016517",
"telephone_number": "406-541-8512",
"fax_number": "406-541-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLMACHER",
"first_name": "KERI",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97153",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4308378",
"state": "MT"
}
],
"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 Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.