PROVIDENCE HEALTH & SERVICES MT – NPI #1124268982
Internal Medicine

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

PROVIDENCE HEALTH & SERVICES MT is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1124268982 to PROVIDENCE HEALTH & SERVICES MT on March 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RB0002X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Obesity Medicine

The NPI profile was last updated on May 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES MT below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES MT

NPI Number
1124268982
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES MT
Other name(s)
All associated names:
Other Name
PMG MT Bariatric Services
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP MONTANA
Primary location
500 W BROADWAY ST
4TH FLOOR
MISSOULA, MT 59802-4096
Phone: (406) 329-5866 Fax:
Mailing address
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone: (406) 329-5866 Fax:
Organization Subpart
Yes - PROVIDENCE HEALTH & SERVICES MT is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RB0002X
- Internal Medicine / Obesity Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.