PROVIDENCE HEALTH & SERVICES MT NPI 1124268982

NPI Information

  • NPI: 1124268982
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Internal Medicine - 207RB0002X
  • Specialization: Obesity Medicine
  • Entity Type: Organization
  • :
  • Address: 500 W BROADWAY ST
    4TH FLOOR
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 329-5866

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is an obesity medicine internal medicine in Missoula, MT. The provider is an internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. PROVIDENCE HEALTH & SERVICES MT NPI is 1124268982. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

500 W BROADWAY ST
4TH FLOOR
MISSOULA, MT
ZIP 59802-096
Phone: (406) 329-5866

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 4/24/2025.

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
1207RB0002XInternal MedicineObesity MedicineYes

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: 3/30/2025

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