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DALE R MORTENSON MD FACS NPI 1801949722


NPI Information

NPI: 1801949722
Provider Name: DALE R MORTENSON, MD, FACS
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
400 13TH AVE S
SUITE 102 GREAT FALLS SURGICAL ASSOCIATES
GREAT FALLS, MT
ZIP 59405
Phone: (406) 452-0877
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Dale R Mortenson, MD, FACS is a surgery in Great Falls, MT with 37 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Dale R Mortenson, MD, FACS NPI is 1801949722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

400 13TH AVE S
SUITE 102 GREAT FALLS SURGICAL ASSOCIATES
GREAT FALLS, MT
ZIP 59405-300
Phone: (406) 452-0877
Fax: (406) 452-2989

The NPI 1801949722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Partial removal of breast (HCPCS:19301)
  • Biopsy or removal of lymph nodes of under the arm, open procedure (HCPCS:38525)

The enumeration date for this NPI number is 1/22/2007 and was last updated on 1/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery7773MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000048433MEDICAIDMONTANA
2010721166OTHERMONTANAEIN
30000099960OTHERMONTANABLUE CROSS BLUE SHIELD
4F57777MEDICARE UPINMONTANA
5608333600OTHERMONTANAUS DEPT OF LABOR
6020053444OTHERMONTANARAILROAD MEDICARE
7000082722MEDICARE ID-TYPE UNSPECIFIEDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.