OrganizationActive
Providence Health & Services Mt
NPI 1336380161 · Infectious Disease Physician · Missoula, MT
Provider details
- NPI number
- 1336380161
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
902 N Orange St
Missoula, MT 59802-2928
Phone: (406) 321-1732
Fax: (425) 687-3615
Street-level locationGet directions
Mailing address
Po Box 31001 - 4114
Pasadena, CA 91110-4114
Other names (DBA / former)
- Doing business as
- Pmg Mt Infection Disease
- Doing business as
- Pmg Mt Infection Disease
- Doing business as
- Providence Medical Group Montana
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.