Maggie Lea Dutcher, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0005950 Issued in CO

Practice address

7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701

Phone

(406) 731-4633

NPI assigned

Dec 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1447589304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCHER",
        "first_name": "MAGGIE",
        "middle_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0005950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Dailey, D.D.S.
• Sara Kathryn Daniel, PA-C
• Deborah L Davidson, WHNP
• Andrew Rudolph Edwin Davis, PA-C
• Wade S Dinse, DDS
• Rachel Elder, PHARMD
• Paxton Anne Farias, LICSW, MSW, MHP, MPS
• Daniel Ray Fisher
• Tyler Freeman
• Timothy Paul Gacioch, PA

• Medical Physician Assistant in Malmstrom Afb, MT
• Providers in Malmstrom Afb, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.