Active NPI
Kristin a Rauch MD PC
- Gynecology Physician
- Missoula, MT
National Provider Identifier
1861677981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 6338
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000096350 | Other | MT | BCBS OF MT |
| 0100711 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI 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.