NPIMap

Organization Active NPI

Laurence V. Ayres, MD, PC

  • Anesthesiology Physician
  • Missoula, MT
National Provider Identifier
1356661052
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5030 Issued in MT
Legal business name
LAURENCE V. AYRES, MD, PC
Practice address
1605 Snow Bowl Rd
Missoula, MT 59808-9350
Phone
(406) 549-8757
Fax
(406) 549-0263
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Laurence V. Ayres, MDNPI 1619002672
Title
Sole Proprietor
Phone
(406) 360-8757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5030 MT Primary

Addresses

Primary practice location

1605 Snow Bowl Rd
Missoula, MT 59808-9350

Mailing address

PO Box 8778
Missoula, MT 59807-8778
Phone (406) 327-9772

Other identifiers 1

IdentifierTypeStateIssuer
000074321MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1356661052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8778",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598078778",
            "telephone_number": "406-327-9772",
            "fax_number": "406-327-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SNOW BOWL RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089350",
            "telephone_number": "406-549-8757",
            "fax_number": "406-549-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE V. AYRES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "406-360-8757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "5030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000074321",
            "state": "MT"
        }
    ],
    "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 Jun 3, 2010; 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.