NPIMap

Organization Active NPI

Community Surgical Associates, P.C.

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1124013354
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7987 Issued in MT
Legal business name
COMMUNITY SURGICAL ASSOCIATES, P.C.
Practice address
2831 Fort Missoula Rd
Suite 104
Missoula, MT 59804-7419
Phone
(406) 728-0285
Fax
(406) 728-0613
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Timothy Bradford Richards, M.D.
Title
President
Phone
(406) 728-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 7987 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd
Suite 104
Missoula, MT 59804-7419

Mailing address

2831 Fort Missoula Rd
Suite 104
Missoula, MT 59804-7419
Phone (406) 728-0285

Other names 1

  • Rocky Mountain Surgical Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1124013354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 104",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-728-0285",
            "fax_number": "406-728-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 104",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-728-0285",
            "fax_number": "406-728-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-728-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MT",
            "license": "7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Surgical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2012; 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.