Andrew David Ashford, PA-C
Individual provider Active NPI Medical Physician Assistant · Missoula, MT
NPI 1124422506 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1124422506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- MED-PAC-LIC-35205 (MT)
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 329-5615
- NPI assigned
- Oct 14, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Hospital & facility affiliations
- St. Patrick Hospital
- Providence St Joseph Medical Center
- Bitterroot Health - Daly Hospital
- St Peters Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022000328 | MT | Practitioner - Physician Assistant | 7911128608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence St Joseph Medical Center | Current |
Accepting new patients | |
| Credena Health LLC | Current |
Accepting new patients |
Locations
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Interoperability endpoints
- aashford349931@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MED-PAC-LIC-35205 | MT | Yes |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5615
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aashford349931@wm.providencedirect.org | Direct |
Other providers in Missoula, MT
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- Nikki Asay
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- Rachel A Ashbrook
- Darren Baird Ashby
- Joshua Ashton
- Aspen Grove Therapy and Wellness Center
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- Eryn Aston
- Emily Attwood
All providers in Missoula, MT · Medical Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.