MONTANA FOOT AND ANKLE INSTITUTE, PLLC (NPI# 1497058572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497058572 |
| Entity Type | Organization |
| Organization Name | MONTANA FOOT AND ANKLE INSTITUTE, PLLC |
| Other Organization Name | MISSOULA FOOT AND ANKLE GROUP |
| Practice Address |
2825 Fort Missoula Rd Suite #106 Missoula MT 59804-7420 |
| Practice Telephone | 4065435333 |
| Practice Fax Number | 4065435621 |
| Mailing Telephone | 4065435333 |
| Mailing Fax Number | 4065435621 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | DR. KARL JOSEPH MANGOLD (OWNER/MANAGER) |
| Authorized Official Telephone | 4065525050 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
174 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE PTAN | M011000091 | 01 |
| Other Name | Type Code |
|---|---|
| Missoula Foot and Ankle Group | Doing Business As Name - Organization |
| Street Address |
2825 FORT MISSOULA RD SUITE #106 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642577 | John K Beighle | Podiatrist | 2825 Fort Missoula Rd, Ste 106, Missoula, MT 59804-7420 | 2005-07-12 |
| 1306379037 | Generations Family Medicine and Obstetrics | Family Medicine | 2825 Fort Missoula Rd, Suite 115, Missoula, MT 59804 | 2017-04-10 |
| 1922540343 | Wellcare Ime, LLC | Specialist | 2825 Fort Missoula Rd, Community Bldg 1, Suite 101, Missoula, MT 59804-7420 | 2016-11-16 |
| 1487084547 | Michelle Sokoloski | Nurse Practitioner | 2825 Fort Missoula Rd, Suite113, Missoula, MT 59804-7420 | 2013-11-26 |
| 1689973570 | T Shull Lemire Md LLC | Internal Medicine | 2825 Fort Missoula Rd, Ste 317b, Missoula, MT 59804-7420 | 2011-03-18 |
| 1063727279 | Clancy L. Cone, Md, PC | Clinic/Center | 2825 Fort Missoula Rd, Missoula, MT 59804-7420 | 2010-08-11 |
| 1609192160 | James M Summers, Do & Associates PC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7480 | 2010-04-08 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| 1851545594 | Thomas A. Baumgartner Md PC | Specialist | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7420 | 2008-11-07 |
| 1073785572 | Womens Health LLC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, 115, Missoula, MT 59804-7420 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.