OrganizationActive
Providence Health & Services Mt
NPI 1518124379 · Cardiovascular Disease Physician · Anaconda, MT
Provider details
- NPI number
- 1518124379
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1102 E Commercial Ave
Anaconda, MT 59711-2718
Phone: (406) 329-5615
Fax: (406) 563-8601
Street-level locationGet directions
Mailing address
Po Box 31001 - 4114
Pasadena, CA 91110-4114
Other names (DBA / former)
- Other name
- Pmg Mt Ihi Anaconda
- Other name
- Pmg Mt Ihi Anaconda
- Doing business as
- Providence Medical Group Montana
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.