Joseph Michael Gassenberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10424 Issued in MT

Practice address

2831 Fort Missoula Rd
Suite 146
Missoula, MT 59804-7419

Phone

(406) 327-3880

Fax

(406) 829-1865

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Premise Health of Montana Medical PC

  dba Montana Anaconda Health Center

  • Multi-Specialty Clinic/Center
  • Anaconda, MT
  • NPI 1093397978
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Premise Health of Montana Medical PC

  dba Butte Montana Health Center

  • Multi-Specialty Clinic/Center
  • Butte, MT
  • NPI 1720679137
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1558413252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 146",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-327-3880",
            "fax_number": "406-829-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 146",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-327-3880",
            "fax_number": "406-829-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSENBERG",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558413252",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Garrett, PHARMD
• Seth Wayne Garrett, SWLC, LAC
• Tim Garrett, D.D.S.
• Gary P. Harvey MD PC
• Henry H Gary, M.D.
• Jessi Gates Brock, LMT
• Gateway Physical Therapy and Wellness PC
• Gathering Place Counseling Center PLLC
• Kelsey Marie Gauthier, RD, LN
• Amy Gazy, SWLC

• Family Medicine Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.