Organization Active NPI

Missoula Surgical Associates, PLLC

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1508808874
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MISSOULA SURGICAL ASSOCIATES, PLLC
Practice address
2819 Great Northern Loop Ste 200
Missoula, MT 59808-1750
Phone
(406) 542-7525
Fax
(406) 829-0661
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Dr. Louis X Kattine, MDNPI 1255371092
Title
Managing Partner
Phone
(406) 542-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2819 Great Northern Loop Ste 200
Missoula, MT 59808-1750

Mailing address

PO Box 7817
Missoula, MT 59807-7817
Phone (406) 542-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000700 MT Part B Supplier - Clinic/Group Practice 7012820202 Receives reassigned benefits from 5 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1508808874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7817",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077817",
            "telephone_number": "406-542-7525",
            "fax_number": "406-829-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 GREAT NORTHERN LOOP STE 200",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081750",
            "telephone_number": "406-542-7525",
            "fax_number": "406-829-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "KATTINE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "406-542-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.