Charlotte L Kutsch, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7807 Issued in MT

Practice address

2835 Fort Missoula Rd
Ste 302
Missoula, MT 59804-7424

Phone

(406) 721-3497

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1295815397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD",
            "address_2": "STE 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-721-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD",
            "address_2": "STE 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-721-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSCH",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70408",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Kumpula, DC
• Jason Kuntz, COTA
• Rebecca Lynn Kuntz, COTAL
• Hannah Kuracina
• Brittany Barbara Kusek
• Rebecca Kwon, MSW
• Lauren Elizabeth La Brie
• Laboratory Corporation of America
• Farrah Michelle Lachina, L.M.T.
• Sheri L. Lacombe, LCPC

• Dermatology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.