Marcia K Moudree, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G43849 Issued in CA

Practice address

4065 Via Palo Verde Lago
Alpine, CA 91901-3219

Phone

(406) 439-6840

Fax

(619) 445-6833

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marcia K Magnus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Capital Medical Anesthesia PLLP

  • Certified Registered Nurse Anesthetist
  • Helena, MT
  • NPI 1033142245

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1831224542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 VIA PALO VERDE LAGO",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013219",
            "telephone_number": "406-439-6840",
            "fax_number": "619-445-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 VIA PALO VERDE LAGO",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013219",
            "telephone_number": "406-439-6840",
            "fax_number": "619-445-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUDREE",
        "first_name": "MARCIA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G43849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "MAGNUS",
            "middle_name": "K",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurie Clemens Mitchell, MD
• Amber Leilani Mojica
• Valeria Moore-Medina, M.S.
• Beatriz Cristina Morales, LMFT
• Jacy Morris, RN
• Mountain Health & Community Services, Inc. (Alpine Family Medicine)
• Heather Ann Moyer, B.A.
• Kathleen Grace Muir, MFTI
• Jean Gail Mullenax, MD
• Ariel Munoz

• Anesthesiology Physician in Alpine, CA
• Providers in Alpine, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.