PAULA S COLLEDGE PA-C NPI 1952395758

NPI Information

  • NPI: 1952395758
  • Provider Name: PAULA S COLLEDGE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 WEST BROADWAY STREET
    SUITE 310
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 728-6520

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NPI Details

Paula S Colledge, PA-C is a medical physician assistant in Missoula, MT with 23 years of experience. Paula S Colledge, PA-C NPI is 1952395758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 WEST BROADWAY STREET
SUITE 310
MISSOULA, MT
ZIP 59802-012
Phone: (406) 728-6520
Fax: (406) 329-2936

The NPI 1952395758 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 enumeration date for this NPI number is 9/7/2005 and was last updated on 12/14/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant355MONTANANo
2363AM0700XPhysician AssistantMedicalMED-PAC-LIC-355MONTANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14302632MEDICAIDMONTANA

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: 11/21/2025

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