Organization Active NPI

William R. Mealer, M.D., Inc.

  • Ambulatory Surgical Clinic/Center
  • Bozeman, MT
National Provider Identifier
1447535869
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
9651 Issued in MT
Legal business name
WILLIAM R. MEALER, M.D., INC.
Practice address
300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551
Phone
(406) 585-2700
Fax
(406) 585-2751
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. William Randall Mealer, MD
Title
Sole Shareholder
Phone
(406) 585-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 9651 MT Primary

Addresses

Primary practice location

300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551

Mailing address

300 N Willson Ave
Suite 300-C
Bozeman, MT 59715-3551
Phone (406) 585-2700

Other identifiers 1

IdentifierTypeStateIssuer
0040154MedicaidMT

National Provider Directory

National Provider Directory

Locations

300 N Willson Ave
Ste 300C
Bozeman, MT 59715
Phone (406) 222-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1447535869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE",
            "address_2": "SUITE 300-C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-585-2700",
            "fax_number": "406-585-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE",
            "address_2": "SUITE 300-C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-585-2700",
            "fax_number": "406-585-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. MEALER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MEALER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "406-585-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": "9651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040154",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.