MISSOULA UROLOGY PLLC
NPI 1609064013
Urology - Pediatric Urology in Missoula, MT
NPI Status: Active since October 10, 2007
Contact Information
2835 FORT MISSOULA RD
SUITE 201
MISSOULA, MT
ZIP 59804
Phone: (406) 543-1967
Fax: (406) 543-5379
- Organization
- Urology
- Pediatric Urology
- CLIA Number: 27D0410875
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-04-2027
About MISSOULA UROLOGY PLLC
This page provides the complete NPI Profile along with additional information for Missoula Urology Pllc, a provider established in Missoula, Montana operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1609064013 assigned on October 2007. The practitioner's primary taxonomy code is 2088P0231X with license number G47576 (MT). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. William J Graber Md (Owner)
- NPI
- 1609064013
- Provider Name
- MISSOULA UROLOGY PLLC
- Entity Type
- Organization
- Location Address
- 2835 FORT MISSOULA RD SUITE 201 MISSOULA, MT 59804
- Location Phone
- (406) 543-1967
- Location Fax
- (406) 543-5379
- Mailing Address
- 2835 FORT MISSOULA RD SUITE 201 MISSOULA, MT 59804
- Mailing Phone
- (406) 543-1967
- Mailing Fax
- (406) 543-5379
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2007
- Last Update Date
- 10-10-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G47576
- License State
- MT
- Taxonomy Description
- Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D0410875
- Facility Type
- Physician Office
- Certificate Effective Date
- July 05, 2025
- Certificate Expiration Date
- July 04, 2027
- Laboratory Director
- DIONNE D. DRAKULICH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Missoula Urology Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609064013, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
MISSOULA, MT 59804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609064013, enumerated as an "organization" on October 10, 2007.
The provider is located at 2835 FORT MISSOULA RD SUITE 201 MISSOULA, MT 59804 and the phone number is (406) 543-1967.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
