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MISSOULA BONE & JOINT SURGICAL CENTER
NPI 1023542388
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Missoula, MT

Active since April 13, 2017CLIA 27D0992739 · Waiver
2360 MULLAN RD, SUTIE C, MISSOULA, MT 59808(406) 542-9695 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, May 20, 2020, Dec 14, 2019 and 1 more (4 updates tracked since 2017).

About Missoula Bone & Joint Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOULA BONE & JOINT SURGICAL CENTER (NPI 1023542388) is a healthcare organization registered as a pediatric orthopaedic surgery in Missoula, Montana and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1023542388
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NameUNIVERSITY OF UTAH PEDIATRIC SERVICES
Location Address2360 MULLAN RD, SUTIE CMissoula, MT 59808-1811
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900
Phone(406) 542-9695
Organization SubpartYes
Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336
Enumeration DateApril 13, 2017
Last NPPES UpdateJanuary 22, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1023542388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedPediatricsTaxonomy 208000000X
2360 MULLAN RD, Missoula, MT 59808
Open in Google Maps ↗

Other Names 1

Doing Business AsMissoula Bone & Joint Surgical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Molina Healthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0992739

Missoula Bone & Joint Surgery Center · Missoula, MT
Active · expires Oct 23, 2027
CLIA Number27D0992739
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorPaul A. Puckett, MD
Laboratory Phone(406) 542-9695
Laboratory LocationMissoula Bone & Joint Surgery Center2360 Mullan Road, Suite B, Missoula, MT 59802
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF UTAH ADULT SERVICES
Orthopaedic Surgery
2360 MULLAN RD, SUITE C
MISSOULA, MT 59808
Missoula County (406) 542-9695
MEAGAN L AUCH PA-C
Physician Assistant
2360 MULLAN RD, SUITE C
MISSOULA, MT 59808
Missoula County (406) 721-4436
PAUL ANDREW PUCKETT M.D.
Orthopaedic Surgery (Hand Surgery)
2360 MULLAN RD, SUITE C
MISSOULA, MT 59808
Missoula County (406) 721-4436
AMY S QUINTERO OTR/L
Occupational Therapist (Hand)
2360 MULLAN RD
MISSOULA, MT 59808
Missoula County (406) 541-4263
MR. DOUGLAS M. HENRY PA-C
Physician Assistant
2360 MULLAN RD, SUITE C
MISSOULA, MT 59808
Missoula County (406) 721-4436
MRS. RAYME MICHELLE CATON ATC, NCBMT
Specialist/Technologist (Athletic Trainer)
2360 MULLAN RD
MISSOULA, MT 59808
Missoula County (406) 542-0808
SYDNEY WILLIAMS
Physical Therapist
2360 MULLAN RD
MISSOULA, MT 59808
Missoula County (406) 721-4436
JENNIFER UNDERWOOD STEPHENS P.T.
Physical Therapist
2360 MULLAN RD
MISSOULA, MT 59808
Missoula County (406) 542-0808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Utah Pediatric Services's NPI number?

The NPI number for University Of Utah Pediatric Services is 1023542388. It was assigned to this organization in the NPPES registry on April 13, 2017. The provider is doing business as Missoula Bone & Joint Surgical Center.

Where is University Of Utah Pediatric Services located?

University Of Utah Pediatric Services is located at 2360 Mullan Rd Sutie C, Missoula, MT 59808. The listed phone number is (406) 542-9695.

What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Does University Of Utah Pediatric Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0992739) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Utah Pediatric Services accept?

Health plans from Blue Cross and Blue Shield of Montana, Molina Healthcare and University of Utah Health Plans list University Of Utah Pediatric Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Utah Pediatric Services was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.