NPIMap

Individual provider Active NPI

Katie E Dawson, MD

  • Surgery Physician
  • Butte, MT
National Provider Identifier
1639212657
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7301 Issued in AK
Practice address
401 S Alabama St Ste 6a
Butte, MT 59701-2358
Phone
(406) 782-2329
Fax
(406) 782-2890
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7301 AK Primary

Addresses

Primary practice location

401 S Alabama St Ste 6a
Butte, MT 59701-2358

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500

Other practice location 1

401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500

Other identifiers 2

IdentifierTypeStateIssuer
51462OtherMTSTATE LICENSE
1639212657MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110926000830 TX Practitioner - General Surgery 0446421333 Reassigns benefits to 2 organizations
I20170512002128 MT Practitioner - General Surgery 0446421333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, 45 clinicians

Practice addresses (Care Compare)

305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone (406) 563-8571

305 W Pennsylvania St
Anaconda, MT 59711-1900

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500

Hospital & facility affiliations

  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7301AKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Aug 4, 2011 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda CurrentSince Jun 1, 2017 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Mar 13, 2017 Accepting new patients
Community Hospital of Anaconda Surgery CurrentSince Jun 1, 2017 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Mar 13, 2017 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

305 W Pennsylvania Ave
Ste 1
Anaconda, MT 59711
Phone (406) 563-8668

401 S Alabama St
Ste 6A
Butte, MT 59701
Phone (406) 782-2329

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1639212657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST STE 6A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012358",
            "telephone_number": "406-782-2329",
            "fax_number": "406-782-2890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Anaconda",
            "state": "MT",
            "postal_code": "597111999",
            "country_code": "US",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "KATIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "51462",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639212657",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.