MATTHEW D MUNDING (NPI# 1164477824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164477824 |
| Entity Type | Individual |
| Full Name | MATTHEW D MUNDING |
| Credential | M.D. |
| Practice Address |
2825 Fort Missoula Rd Sutie 301 Missoula MT 59804-7420 |
| Mailing Address |
5751 Meadow Vista Dr Florence MT 59833-6602 |
| Practice Telephone | 4069266999 |
| Practice Fax Number | 4069266999 |
| Mailing Telephone | 4065316952 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9973 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBSMT | 0000912100 | 01 |
| MT | 1164477824 | 05 | |
| MT | MEDICARE GROUP | M000009917 | 01 |
| Street Address |
2825 FORT MISSOULA RD SUTIE 301 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642577 | John K Beighle | Podiatrist | 2825 Fort Missoula Rd, Ste 106, Missoula, MT 59804-7420 | 2005-07-12 |
| 1306379037 | Generations Family Medicine and Obstetrics | Family Medicine | 2825 Fort Missoula Rd, Suite 115, Missoula, MT 59804 | 2017-04-10 |
| 1922540343 | Wellcare Ime, LLC | Specialist | 2825 Fort Missoula Rd, Community Bldg 1, Suite 101, Missoula, MT 59804-7420 | 2016-11-16 |
| 1487084547 | Michelle Sokoloski | Nurse Practitioner | 2825 Fort Missoula Rd, Suite113, Missoula, MT 59804-7420 | 2013-11-26 |
| 1689973570 | T Shull Lemire Md LLC | Internal Medicine | 2825 Fort Missoula Rd, Ste 317b, Missoula, MT 59804-7420 | 2011-03-18 |
| 1497058572 | Montana Foot and Ankle Institute, Pllc | Clinic/Center | 2825 Fort Missoula Rd, Suite #106, Missoula, MT 59804-7420 | 2010-12-13 |
| 1063727279 | Clancy L. Cone, Md, PC | Clinic/Center | 2825 Fort Missoula Rd, Missoula, MT 59804-7420 | 2010-08-11 |
| 1609192160 | James M Summers, Do & Associates PC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7480 | 2010-04-08 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| 1851545594 | Thomas A. Baumgartner Md PC | Specialist | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7420 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134548597 | Jeffrey Devin Redshaw | Urology | 2875 Tina Ave Ste 101, Missoula, MT 59808-1582 | 2014-04-15 |
| 1912940693 | Garrick R Simmons | Urology | 2875 Tina Ave, Suite 101, Missoula, MT 59808 | 2006-06-13 |
| 1720067705 | Five Valleys Urology | Urology | 2875 Tina, Suite 101, Missoula, MT 59808-1308 | 2006-01-10 |
| 1174502173 | Karl R. Westenfelder | Urology | 2875 Tina Ave, Suite 101, Missoula, MT 59808-9039 | 2006-01-10 |
| 1215932926 | Kevin Michael Kronner | Urology | 2875 Tina Avenue, Suite 101, Missoula, MT 59808 | 2005-06-17 |
| 1770779225 | Christopher G Wicher | Urology | 2875 Tina Avenue, Suite 101, Missoula, MT 59808 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922345396 | Dayton Rusby Seabaugh | Urology | 395 Lower Valley Rd, Kalispell, MT 59901-7974 | 2013-01-05 |
| 1285928754 | Richard Craig Slater | Urology | 3000 15th Ave S Dept Of, Great Falls, MT 59405-5240 | 2011-06-02 |
| 1588955256 | Michael J Berson | Urology | 169 Sunset Trl, Kalispell, MT 59901-7820 | 2011-04-28 |
| 1154557999 | Michael Oliver Hickman Jr. | Urology | 2900 12th Ave N Ste 503e, Billings, MT 59101-7502 | 2009-06-08 |
| 1306091541 | Michael B Agee | Urology | 429 S Cooke St, Helena, MT 59601-5147 | 2008-12-01 |
| 1275657371 | James Bruce Robertson | Urology | 2002 N 22nd Ave Ste 1, Bozeman, MT 59718-3153 | 2007-03-16 |
| 1457443251 | Bjorn Sauerwein | Urology | 935 Highland Blvd Ste 2160, Bozeman, MT 59715-6913 | 2006-09-29 |
| 1891886867 | Urology Associates PC | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2006-09-27 |
| 1598867061 | Craig Grinnell Hinman | Urology | 625 7th Ave E, Kalispell, MT 59901-5050 | 2006-09-03 |
| 1093822736 | Joseph Peter Nicoletto | Urology | 308 Louisiana Ave Ste 1, Libby, MT 59923-2159 | 2006-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.