Lisa J Milch, M.D.
Individual provider Active NPI Internal Medicine Physician · Missoula, MT
NPI 1679527105 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1679527105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 7291 (MT)
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 329-2954
- Fax
- (406) 327-3100
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Mt
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 523-5503
Hospital & facility affiliations
- Partners in Home Care Hospice
- St. Patrick Hospital
- Riverside Health & Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090611000555 | MT | Practitioner - Internal Medicine | 5799835823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7291 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current |
Accepting new patients | |
| Providence Health & Services Mt | Internal Medicine | Current |
Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Riverside Health Care Center | Past | Accepting new patients |
Locations
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
500 W Broadway St
#P1
Missoula, MT 59802
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
1301 E Broadway St
Missoula, MT 59802
Phone (406) 721-0680
Interoperability endpoints
- lmilch236155@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7291 | MT | Yes |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-2954
NPI Registry JSON
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1679527105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-2954",
"fax_number": "406-327-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-2954",
"fax_number": "406-327-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILCH",
"first_name": "LISA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "7291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
- Mike Duchschere, Aprn, PLLC
- Mike Mondloch, Crna, Inc
- Cindy Nadine Mikes
- Logan Michael Mikkelson
- Wendy E. Miklos
- Paisley L. Miles
- McKenna Leigh Mill
- Benjamin Eric Miller Castellanos
- Benjamin J Miller
- Chelsey Miller
All providers in Missoula, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.