Missoula Bone & Joint Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MISSOULA BONE & JOINT SURGERY CENTER, LLC

Practice address

2360 Mullan Rd
Suite B
Missoula, MT 59808-1811

Phone

(406) 542-9695

Fax

(406) 542-9703

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Samantha Spencer, CEO

Title

Ceo

Phone

(406) 721-4436

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Listed as

Missoula Bone and Joint Surgery CenterCCN 27C0001018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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

• Mark F. Rotar, M.D.

  • Orthopaedic Surgery Physician
  • Missoula, MT
  • NPI 1841279304
  NPD (past)
• Gregory John Thomson, M.D.

  • Orthopaedic Trauma Physician
  • Jackson, WY
  • NPI 1992870471
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1639126303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MULLAN RD",
            "address_2": "SUITE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "telephone_number": "406-542-9695",
            "fax_number": "406-542-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MULLAN RD",
            "address_2": "SUITE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "telephone_number": "406-542-9695",
            "fax_number": "406-542-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA BONE & JOINT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-721-4436",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000351084",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missoula Alf Operations, LLC (Missoula Health & Rehabilitation Center (ALF))
• Missoula Anesthesiology, P.C.
• Missoula Area Agency on Aging (Missoula Aging Services)
• Missoula Area Education Cooperative
• Missoula Behavioral Consulting, PLLC
• Missoula Bone & Joint, LLC
• Missoula County Public Schools
• Missoula Dental, PC
• Missoula Developmental Service Corp (MDSC)
• Missoula Doula (Missoula Doula Birth Services)

• Ambulatory Surgical Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Ambulatory Surgical Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.