Organization Active NPI

Valerie Ann Knudsen MD Facog PLLC

  • Obstetrics & Gynecology Physician
  • Missoula, MT
National Provider Identifier
1144276635
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5310 Issued in MT
Legal business name
VALERIE ANN KNUDSEN MD FACOG PLLC
Practice address
2831 Fort Missoula Rd
Suite 306
Missoula, MT 59804-7419
Phone
(406) 327-4395
Fax
(406) 327-4394
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Paula J Hanig, CPC, CHBME
Title
Medical Billing Agent
Phone
(406) 443-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5310 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd
Suite 306
Missoula, MT 59804-7419

Mailing address

PO Box 1130
Helena, MT 59624-1130
Phone (406) 443-3076

Other identifiers 2

IdentifierTypeStateIssuer
0042245MedicaidMT
0021863MedicaidID

National Provider Directory

National Provider Directory

Locations

2831 Fort Missoula Rd
Ste 306
Missoula, MT 59804
Phone (406) 327-4395

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1144276635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241130",
            "telephone_number": "406-443-3076",
            "fax_number": "406-449-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 306",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-327-4395",
            "fax_number": "406-327-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE ANN KNUDSEN MD FACOG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HANIG",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL BILLING AGENT",
        "authorized_official_telephone_number": "406-443-3076",
        "authorized_official_credential": "CPC, CHBME"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "5310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042245",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021863",
            "state": "ID"
        }
    ],
    "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 11, 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.

Verify at the official NPI Registry.