NPIMap

Organization Active NPI

Montana Wound Management PC

  • Family Medicine Physician
  • Great Falls, MT
National Provider Identifier
1881741122
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTANA WOUND MANAGEMENT PC
Practice address
500 15TH Ave S
Great Falls, MT 59405-4324
Phone
(406) 455-2680
Fax
(406) 455-2685
NPI assigned
Jan 5, 2007
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Mike A. Johnson, M.D.NPI 1821177346
Title
Physician.Owner
Phone
(406) 466-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

500 15TH Ave S
Great Falls, MT 59405-4324

Mailing address

PO Box 1140
Choteau, MT 59422-1140
Phone (406) 466-3399

National Provider Directory

National Provider Directory

Locations

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1881741122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594221140",
            "telephone_number": "406-466-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-455-2680",
            "fax_number": "406-455-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA WOUND MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN.OWNER",
        "authorized_official_telephone_number": "406-466-3399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.