Individual provider Active NPI

Todd D Mohr, PAC

  • Physician Assistant
  • Butte, MT
National Provider Identifier
1891776944
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
174 Issued in MT
Practice address
3703 Harrison Ave
Butte, MT 59701-6897
Phone
(406) 494-3768
Fax
(406) 494-3925
NPI assigned
Nov 7, 2005
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 174 MT Primary

Addresses

Primary practice location

3703 Harrison Ave
Butte, MT 59701-6897

Mailing address

400 S Clark St
Butte, MT 59701-2328
Phone (406) 723-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
174MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare CurrentSince Mar 1, 2016 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 1, 2013 Accepting new patients
Holy Rosary Healthcare CurrentSince Mar 1, 2016 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 1, 2013 Accepting new patients
St. James Healthcare CurrentSince Jul 9, 2005 Accepting new patients
Butte Pathology LLC Current Accepting new patients
St James Healthcare CurrentSince Jul 9, 2005 Accepting new patients
Holy Rosary Healthcare Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1891776944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012328",
            "telephone_number": "406-723-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016897",
            "telephone_number": "406-494-3768",
            "fax_number": "406-494-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "TODD",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.