Providence Health & Services Mt

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PROVIDENCE HEALTH & SERVICES MT

Practice address

1103 Westwood Dr
Hamilton, MT 59840-2342

Phone

(406) 363-4209

Fax

(406) 363-4356

NPI assigned

Jan 16, 2009

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH & SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Teri Masters

Title

RCM Operations MGR.

Phone

(406) 329-5795

Specialties & licenses 3

Addresses

Other names 1

• PMG MT Spine & Pain Hamilton Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Part of

Providence Service Corporation

Practitioners 1

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

• David Hugh Warden, M.D.

  • Nephrology Physician
  • St Paul, MN
  • NPI 1548227739
  NPD

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1821235599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439",
            "telephone_number": "406-363-4209",
            "fax_number": "406-363-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402342",
            "telephone_number": "406-363-4209",
            "fax_number": "406-363-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES MT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES",
        "enumeration_date": "2009-01-16",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "RCM OPERATIONS MGR.",
        "authorized_official_telephone_number": "406-329-5795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMG MT Spine & Pain Hamilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dylan C Powell, PA-C
• Meredith Preston, LMT
• Rachel N Price
• Patrice Promack, LMT
• Providence Health & Services Mt
• Adam Robert Putnam, DO
• Christopher Chisholm Qualls, OD
• Niki Qualm, RN
• Mona Liane Quintieri, LMT
• Jessica Randazzo, LCSW

• Interventional Pain Medicine Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Interventional Pain Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.