Individual provider Active NPI

Carl Keeway Schillhammer, M.D.

  • Orthopaedic Surgery Physician
  • Anaconda, MT
National Provider Identifier
1952545311
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
40821 Issued in MT
Practice address
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone
(406) 563-8571
Fax
(406) 563-8523
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 40821 MT Primary

Addresses

Primary practice location

401 W Pennsylvania Ave
Anaconda, MT 59711-1931

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8571

Other identifiers 1

IdentifierTypeStateIssuer
40821OtherMTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002346 MT Practitioner - Orthopedic Surgery 2567688013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, shared by 5 NPIs, 45 clinicians

Practice addresses (Care Compare)

401 S Alabama St
Suite 6a
Butte, MT 59701-2358
Phone (406) 782-2329

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40821MTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda Current Accepting new patients
Powell County Memorial Hospital Association Inc Current Accepting new patients
Community Hospital of Anaconda CurrentSince Sep 1, 2015 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Powell County Memorial Hospital Association Inc CurrentSince May 1, 2016 Accepting new patients
Community Hospital of Anaconda Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

305 W Pennsylvania Ave
Ste 1
Anaconda, MT 59711
Phone (406) 563-8668

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 S Alabama St
Ste 5
Butte, MT 59701
Phone (406) 782-3808

401 S Alabama St
Ste 6A
Butte, MT 59701
Phone (406) 782-2329

1100 Hollenbeck Ln
Deer Lodge, MT 59722
Phone (406) 846-1722

Interoperability endpoints

  • Direct secure messaging: cschillhammer536149@wm.providencedirect.org

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1952545311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8571",
            "fax_number": "406-563-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8571",
            "fax_number": "406-563-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLHAMMER",
        "first_name": "CARL",
        "middle_name": "KEEWAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "40821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40821",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.