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SURGICAL ASSOCIATES OF BOZEMAN PC NPI 1841320629


NPI Information

NPI: 1841320629
Provider Name: SURGICAL ASSOCIATES OF BOZEMAN, PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
925 HIGHLAND BOULEVARD
SUITE 1200
BOZEMAN, MT
ZIP 59715
Phone: (406) 587-0704
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SURGICAL ASSOCIATES OF BOZEMAN, PC is a surgery in Bozeman, MT. 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. SURGICAL ASSOCIATES OF BOZEMAN, PC NPI is 1841320629. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

925 HIGHLAND BOULEVARD
SUITE 1200
BOZEMAN, MT
ZIP 59715-900
Phone: (406) 587-0704
Fax: (406) 587-1147

The provider's authorized official is Kelly L Banks .
The authorized official title is Vice-president and has the following contact phone number (406) 587-0704.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2011.


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
1163WM0705XRegistered NurseMedical-Surgical15264MONTANANo
2208600000XSurgery4000MONTANANo
3208600000XSurgery6438MONTANANo
4208600000XSurgery9898MONTANANo
5208600000XSurgery10338MONTANANo
6208600000XSurgeryYes

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
1000008405MEDICARE UPINMONTANA
2000082045MEDICARE ID-TYPE UNSPECIFIEDMONTANAGARTH A. OLDS, MD
3000048568MEDICAIDMONTANA
4D07884MEDICARE UPINMONTANA
5000062917MEDICAIDMONTANA
6H84227MEDICARE UPINMONTANA
7000000058MEDICARE ID-TYPE UNSPECIFIEDMONTANACHARLES F RINKER, MD
8000009823MEDICARE ID-TYPE UNSPECIFIEDMONTANAKELLY L. BANKS, MD
9000037700MEDICAIDMONTANA
10E28053MEDICARE UPINMONTANA
11000083303MEDICARE ID-TYPE UNSPECIFIEDMONTANAANDREW W. GRACE, MD
12000085748MEDICAIDMONTANA
13H40343MEDICARE UPINMONTANA

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

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