Mike Mondloch, Crna, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MIKE MONDLOCH, CRNA, INC

Practice address

700 W Kent Ave
Missoula, MT 59801-6772

Phone

(406) 728-3501

NPI assigned

Jul 9, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Michael Mondloch, CRNANPI 1013940261

Title

President

Phone

(503) 372-2740

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Michael Mondloch, CRNA

  • Certified Registered Nurse Anesthetist
  • Missoula, MT
  • NPI 1013940261
  Authorized official Same address or phone
• Mark E Vandolah, CRNA

  • Certified Registered Nurse Anesthetist
  • Three Forks, MT
  • NPI 1891769600

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1295768448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24251",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240251",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-728-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MONDLOCH, CRNA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MONDLOCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-372-2740",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sena Miculka, LMT
• Shelby Kay Midboe
• Marie Middleton, PHD
• Karen Betts Mielke, MD, JD
• Mike Duchschere, Aprn, PLLC
• Cindy Nadine Mikes, PHARM.D.
• Logan Michael Mikkelson, D.C.
• Wendy E. Miklos, M.D.
• Lisa J Milch, M.D.
• Paisley L. Miles, LCSW

• Certified Registered Nurse Anesthetist in Missoula, MT
• Providers in Missoula, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.