Individual provider Active NPI

Gerald Henry Siemens, MD

  • Anesthesiology Physician
  • Missoula, MT
National Provider Identifier
1447505045
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4702 Issued in MT
Practice address
5110 Clearview Way
Missoula, MT 59803-2147
Phone
(406) 251-6733
Fax
(406) 251-6733
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4702 MT Primary

Addresses

Primary practice location

5110 Clearview Way
Missoula, MT 59803-2147

Mailing address

5110 Clearview Way
Missoula, MT 59803-2147
Phone (406) 251-6733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4702MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Anesthesiology, P.C. Anesthesiology PastSince Jan 29, 2023 Accepting new patients
Ma Critical Care Services, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1447505045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 CLEARVIEW WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032147",
            "telephone_number": "406-251-6733",
            "fax_number": "406-251-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 CLEARVIEW WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598032147",
            "telephone_number": "406-251-6733",
            "fax_number": "406-251-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMENS",
        "first_name": "GERALD",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "4702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.