Active NPI
Thomas A. Rickard, M.D.
- Orthopaedic Hand Surgery Physician
- Missoula, MT
National Provider Identifier
1548260706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 7190
- Practice address
- 2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419 - Phone
- (406) 728-6101
- Fax
- (406) 721-3278
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 7190 | MT | Primary |
Addresses
Primary practice location
2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419
Mailing address
2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419
Phone (406) 728-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97630 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7190 | MT | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Rockies Orthopaedics, PLLP | Hand Surgery | Current | Accepting new patients |
Locations
2740 South Ave W
Ste 101
Missoula, MT 59804
Phone (406) 543-0617
2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650
Organizations & group practices 1
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": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548260706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD",
"address_2": "SUITE 232",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047419",
"telephone_number": "406-728-6101",
"fax_number": "406-721-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD",
"address_2": "SUITE 232",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047419",
"telephone_number": "406-728-6101",
"fax_number": "406-721-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARD",
"first_name": "THOMAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MT",
"license": "7190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97630",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.