OrganizationActive
Providence Health & Services Mt
NPI 1902063688 · Cardiovascular Disease Physician · Superior, MT
Provider details
- NPI number
- 1902063688
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Teri Masters, Rcm Operations Mgr(406) 329-5795
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
1208 6th Ave
Superior, MT 59872-9618
Phone: (406) 822-4278
Fax: (406) 329-5606
Street-level locationGet directions
Mailing address
Po Box 34439
Seattle, WA 98124-1439
Other names (DBA / former)
- Doing business as
- Pmg Mt Ihi Superior
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2011-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.