Active NPI
Edward James Madler, MD
- Anesthesiology Physician
- Kalispell, MT
National Provider Identifier
1871642967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4327
- Practice address
- 310 Sunnyview Lane
Kalispell, MT 59901 - Phone
- (406) 752-5111
- NPI assigned
- Jan 9, 2007
- Last updated
- May 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4327 | MT | Primary |
Addresses
Primary practice location
310 Sunnyview Lane
Kalispell, MT 59901
Mailing address
PO Box 24823
Seattle, WA 98124-0823
Phone (425) 407-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050001136 | Other | RAILROAD MEDICARE | |
| 000012960 | Other | MT | BCBS |
| 0068952 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4327 | MT | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1871642967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24823",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240823",
"telephone_number": "425-407-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SUNNYVIEW LANE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADLER",
"first_name": "EDWARD",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "4327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050001136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000012960",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068952",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
- Lymphedema and Occupational Therapy Service, Inc (Hand Therapy and Lymphedema Clinic, Inc)
- Alexandra Allyn Lyons, RPH
- David Macneill, FNP-BC
- Niall Patrick Madigan, MD
- Raeanna Madigan, NP-BC
- Kenneth A Madsen Jr., D.D.S.
- Allie Maffit, M.D.
- Mark Erich Magill, MD
- Gena Mahilom, MASSAGE THERAPIST
- Katelyn Mahlum, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.