PROVIDENCE HEALTH & SERVICES MT
NPI 1407151616
Internal Medicine in Missoula, MT

Q: What is Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1407151616. It was assigned to this organization in the NPPES registry on January 19, 2011. The provider is doing business as SPH Anticoagulation Clinic.

Q: What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 19, 2011

500 W BROADWAY ST, MISSOULA, MT 59802(406) 327-1766 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1407151616), doing business as Sph Anticoagulation Clinic, is a healthcare organization registered as an internal medicine in Missoula, Montana and active in the NPI registry since January 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1407151616

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES MT

Location Address500 W BROADWAY STMissoula, MT 59802-4096

Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (406) 327-1766

Phone(406) 327-1766

Organization SubpartYesParent: Providence Health & Services

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateJanuary 19, 2011

Last NPPES UpdateMay 6, 2025

NPPES CertifiedMay 6, 2025

✔ NPI 1407151616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 W BROADWAY ST, Missoula, MT 59802

Open in Google Maps ↗

Other Names 1

Doing Business AsSph Anticoagulation Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Mt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Of these, 88 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66

Family Practice22

Emergency Medicine19

Neurology19

Cardiovascular Disease (Cardiology)18

Clinical Social Worker18

Internal Medicine17

General Surgery14

33 other specialties132

Nearest to this location (20)

See all 325

Bradley Coots, MD

Plastic and Reconstructive Surgery

NPI 1972611481

500 W BROADWAY ST FL 4
Missoula, MT 59802

(406) 329-5866

✔ PECOS✔ Accepts MedicareSame address

Marco Lorio, M.D

Infectious Disease

NPI 1295140937

500 W BROADWAY ST
Missoula, MT 59802

(406) 543-7271

✔ PECOS✔ Accepts MedicareSame address

James Maddux, MD

Cardiovascular Disease (Cardiology)

NPI 1942237326

500 W BROADWAY ST SUITE 320
Missoula, MT 59802

(406) 329-5615

✔ PECOS✔ Accepts MedicareSame address

Emily Miller, NP

Nurse Practitioner

NPI 1629892609

500 W BROADWAY ST
Missoula, MT 59802

(406) 329-5615

✔ PECOS✔ Accepts MedicareSame address

Melissa Robinson, M.D.

Cardiac Electrophysiology

NPI 1831171586

500 W BROADWAY ST STE 320
Missoula, MT 59802

(406) 329-5615

✔ PECOS✔ Accepts MedicareSame address

Makenna Stavins, MD

Internal Medicine

NPI 1427708684

500 W BROADWAY ST FL 4
Missoula, MT 59802

(406) 327-1900

✔ PECOS✔ Accepts MedicareSame address

Vicente Undurraga Perl, M.D.

General Surgery

NPI 1083931067

500 W BROADWAY ST FL 4
Missoula, MT 59802

(406) 329-5828

✔ PECOS✔ Accepts MedicareSame address

Gregory Wood, M.D.

Advanced Heart Failure and Transplant Cardiology

NPI 1487821344

500 W BROADWAY ST STE 320
Missoula, MT 59802

(406) 329-5615

✔ PECOS✔ Accepts MedicareSame address

Elise Abicht, MD

Obstetrics/Gynecology

NPI 1497071054

500 W BROADWAY ST FL 4BB
Missoula, MT 59802

(406) 329-5828

✔ PECOS✔ Accepts MedicareSame address

Anthony Caffarelli, M.D.

Thoracic Surgery

NPI 1851587356

500 W BROADWAY ST STE 320
Missoula, MT 59802

(406) 329-5615

✔ PECOS✔ Accepts MedicareSame address

Kenneth Brewington, MD

Neurosurgery

NPI 1154315695

500 WEST BROADWAY STREET SUITE 310
Missoula, MT 59802

(406) 728-6520

✔ PECOS✔ Accepts MedicareSame address

Amanda Morey, M.D.

Emergency Medicine

NPI 1073703518

500 W BROADWAY ST
Missoula, MT 59802

(406) 329-5635

✔ PECOSSame address

Blair Brown, MD, MED

Preventive Medicine

NPI 1033596572

500 W BROADWAY ST FL 4
Missoula, MT 59802

(406) 327-1940

✔ PECOS✔ Accepts MedicareSame address

Sandra Cummins, LCSW

Clinical Social Worker

NPI 1386164408

500 W BROADWAY ST
Missoula, MT 59802

(406) 327-3046

✔ PECOS✔ Accepts MedicareSame address

Julia Gruetzmacher, MD

Family Practice

NPI 1962852962

500 W BROADWAY ST
Missoula, MT 59802

(406) 543-7271

✔ PECOS✔ Accepts MedicareSame address

John Lakatua, MD

Nephrology

NPI 1023063070

500 WEST BROADWAY
Missoula, MT 59802

(406) 721-5600

✔ PECOS✔ Accepts MedicareSame address

John Neathawk, D.O.

Hospitalist

NPI 1134567126

500 W BROADWAY ST ROOM 202 MAIN HOSPITAL, MSC 333
Missoula, MT 59802

(406) 543-7271

✔ PECOS✔ Accepts MedicareSame address

Michael Reed, MD

Interventional Cardiology

NPI 1346396967

500 WEST BROADWAY ST. PATRICK HOSPITAL
Missoula, MT 59802

(406) 543-7271

✔ PECOS✔ Accepts MedicareSame address

Michael Snyder, MD

Hematology

NPI 1306872999

500 W BROADWAY ST
Missoula, MT 59802

(406) 728-2539

✔ PECOS✔ Accepts MedicareSame address

Alan Thomas, MD

Medical Oncology

NPI 1548297468

500 W BROADWAY ST
Missoula, MT 59802

(406) 728-2539

✔ PECOS✔ Accepts MedicareSame address

See all 325 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1407151616. It was assigned to this organization in the NPPES registry on January 19, 2011. The provider is doing business as SPH Anticoagulation Clinic.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 327-1766.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Of these, 88 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.