MOUNTAINS EDGE MEDICAL GROUP PLLC
NPI 1316496383
Family Medicine in Richland Center, WI

Q: What is Mountains Edge Medical Group PLLC's NPI number?

The NPI number for Mountains Edge Medical Group PLLC is 1316496383. It was assigned to this organization in the NPPES registry on September 30, 2016.

Q: What is Mountains Edge Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 30, 2016

333 E 2ND ST, RICHLAND CENTER, WI 53581(608) 647-6321 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2022, Nov 20, 2019, May 16, 2018 and 4 more (7 updates tracked since 2016).

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About Mountains Edge Medical Group Pllc NPPES

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

MOUNTAINS EDGE MEDICAL GROUP PLLC (NPI 1316496383) is a healthcare organization registered as a family medicine in Richland Center, Wisconsin and active in the NPI registry since September 2016. The organization maintains a secondary practice location in Saint Peter and lists Matthew Pappy, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1316496383

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMOUNTAINS EDGE MEDICAL GROUP PLLC

Location Address333 E 2ND STRichland Center, WI 53581

Mailing Address2660 Crimson Canyon Dr Ste 130Las Vegas, NV 89128-0846 · (702) 453-3799 · Fax (702) 453-5741

Phone(608) 647-6321

Organization SubpartNo

Authorized OfficialMatthew PappySole Owner · (405) 740-5017

Enumeration DateSeptember 30, 2016

Last NPPES UpdateDecember 29, 20227 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1316496383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 66303✔ Licensed in WA · MD60688815✔ Licensed in CO · DR0057605

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

333 E 2ND ST, Richland Center, WI 53581

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Secondary Practice Location 1

Location 11900 Sunrise DrSaint Peter, MN 56082-5376 · Phone (702) 453-3799 · Fax (702) 453-5741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TY A. MULHOLLAND

Dietitian, Registered