Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JERRY J KING PA-C
NPI 1790754463
Physician Assistant - Surgical in Missoula, MT

Active since March 15, 2006
2831 FORT MISSOULA RD, SUITE 232, MISSOULA, MT 59804(406) 728-6101(406) 721-3278 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry J King Pa-c NPPES

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

JERRY J KING PA-C (NPI 1790754463) is an individual surgical provider in Missoula, Montana, licensed in Montana (770597) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1790754463
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJERRY J KINGCredential: PA-C
Location Address2831 FORT MISSOULA RD, SUITE 232Missoula, MT 59804-7419
Mailing Address2831 Fort Missoula Rd, Suite 232Missoula, MT 59804-7419 · (406) 728-6101 · Fax (406) 721-3278
Fax(406) 721-3278
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1790754463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · 770597
2831 FORT MISSOULA RD, Missoula, MT 59804

Other Identifiers 1

Medicaid0023283MT

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.

Psychiatry & Neurology (Psychiatry)
2831 FORT MISSOULA RD, STE 104
MISSOULA, MT 59804
Specialist
2831 FORT MISSOULA RD, SUITE 301
MISSOULA, MT 59804
Specialist
2831 FORT MISSOULA RD, SUITE 105
MISSOULA, MT 59804
Physical Therapist
2831 FORT MISSOULA RD, SUITE 200
MISSOULA, MT 59804
Physical Therapist (Orthopedic)
2831 FORT MISSOULA RD, STE 200
MISSOULA, MT 59804
Orthopaedic Surgery
2831 FORT MISSOULA RD, SUITE 232
MISSOULA, MT 59804
Surgery
2831 FORT MISSOULA RD, SUITE 104
MISSOULA, MT 59804
Obstetrics & Gynecology
2831 FORT MISSOULA RD, SUITE 306
MISSOULA, MT 59804

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 Jerry King's NPI number?

The NPI number for Jerry King is 1790754463. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Jerry King located?

Jerry King practices at 2831 Fort Missoula Rd Suite 232, Missoula, MT 59804. The listed phone number is (406) 728-6101.

What is Jerry King's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jerry King was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.