Jonathan C Anderson, MD
Individual provider Active NPI Anesthesiology Physician · Kalispell, MT
NPI 1174634745 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1174634745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 12352 (MT)
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 752-5111
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Rockies Anesthesia Consultants PLLC
Practice addresses (Care Compare)
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 752-5111
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-7550
Hospital & facility affiliations
- Logan Health Medical Center
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027001364 | MT | Practitioner - Anesthesiology | 2860521994 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12352 | MT | MD | Anesthesiology Physician |
| MD60094851 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals, Inc. | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Northern Rockies Anesthesia Consultants PLLC | Anesthesiology | Current |
Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Seattle Anesthesiologists, PS | Anesthesiology | Past | Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12352 | MT | Yes |
| Anesthesiology Physician | 207L00000X | MD60094851 | WA |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
PO Box 24823
Seattle, WA 98124-0823
Phone (425) 407-1500
Other providers in Kalispell, MT
- John D Andenoro
- Elise Anderes
- Brenda L Anderson
- Dawn Anderson
- Isaac Anderson
- Jonathan M Anderson
- Kristina Skye Anderson
- Mechelle L. Anderson
- Scott Andrews
- Androes & Androes
All providers in Kalispell, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. 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.