Organization Active NPI

Kristin a Rauch MD PC

  • Gynecology Physician
  • Missoula, MT
National Provider Identifier
1861677981
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6338 Issued in MT
Legal business name
KRISTIN A RAUCH MD PC
Practice address
2825 Fort Missoula Rd
115
Missoula, MT 59804-7420
Phone
(406) 728-4292
Fax
(406) 728-5770
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Kristin A Rauch, MD
Title
President
Phone
(406) 728-4292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 6338 MT Primary

Addresses

Primary practice location

2825 Fort Missoula Rd
115
Missoula, MT 59804-7420

Mailing address

2825 Fort Missoula Rd
115
Missoula, MT 59804-7420
Phone (406) 728-4292

Other identifiers 2

IdentifierTypeStateIssuer
000096350OtherMTBCBS OF MT
0100711MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1861677981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-728-4292",
            "fax_number": "406-728-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-728-4292",
            "fax_number": "406-728-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN A RAUCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "RAUCH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-728-4292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MT",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT",
            "identifier": "000096350",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100711",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.