Individual provider Active NPI

Thomas Eugene Schultz, CRNA

  • Certified Registered Nurse Anesthetist
  • Glasgow, MT
National Provider Identifier
1902937675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
20495 Issued in MT
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3500
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 20495 MT Primary

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2604

Mailing address

776 Hillside Dr
Glasgow, MT 59230-1660
Phone (406) 228-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000429 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921071416 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Point Clinic Association IncGroup PAC ID 3678546660, 17 clinicians

Practice addresses (Care Compare)

301 Knapp St
Wolf Point, MT 59201-1826
Phone (406) 653-6437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20495MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc Current Accepting new patients
Glendive Medical Center, Inc CurrentSince Mar 9, 2020 Accepting new patients
Glendive Medical Center, Inc CurrentSince Mar 9, 2020 Accepting new patients
Riverside Family Clinic CurrentSince Nov 18, 2024 Accepting new patients
Northeast Montana Health Services, Inc. Current Accepting new patients
Northeast Montana Health Services Inc Current Accepting new patients
Wolf Point Clinic Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Bruce D Fisher DPM PC Past Accepting new patients
Glasgow Clinic, Inc. Past Accepting new patients

Locations

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

301 Knapp St
Wolf Point, MT 59201
Phone (406) 653-2150

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902937675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 HILLSIDE DR",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592301660",
            "telephone_number": "406-228-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "20495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.