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: 07-04-2025
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 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice 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, 2023
- Certificate Expiration Date
- July 04, 2025
- 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 6 | 4 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 6 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 6 + 8 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1609064013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457303265 | MS. KRISTIN H JANCZEWSKI MD Individual | Specialist | 2835 FORT MISSOULA RD #306 MISSOULA, MT 59804 (406) 541-2570 |
| 1851331342 | MARY Z KLESCHEN MD Individual | Family Medicine | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 721-5600 |
| 1881634798 | NANCY L EVERETT CNM Individual | Advanced Practice Midwife | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 721-5600 |
| 1437192713 | BRUCE G HARDY MD Individual | Pediatrics (Pediatric Cardiology) | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 721-5600 |
| 1801831599 | JANICE R GOMERSALL MD Individual | Family Medicine | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 327-3920 |
| 1942217484 | MARK LINDSEY STEWART M.D. Individual | Dermatology | 2835 FORT MISSOULA RD SUITE 302 MISSOULA, MT 59804 (406) 721-3497 |
| 1184634305 | SANDRA SIMMONS MD Individual | Pediatrics | 2835 FORT MISSOULA RD MISSOULA VALLEY PEDIATRICS STE 205 MISSOULA, MT 59804 (406) 542-0391 |
| 1588674709 | THOMAS LOWDER MD Individual | Pediatrics | 2835 FORT MISSOULA RD STE 205 MISSOULA VALLEY PEDIATRICS MISSOULA, MT 59804 (406) 542-0391 |
| 1528150489 | MOUNTAIN VIEW FAMILY MEDICAL & OBSTETRICS Organization | Family Medicine | 2835 FORT MISSOULA RD SUITE 102 MISSOULA, MT 59804 (406) 327-3920 |
| 1386777431 | DR. CHRISTINE RAGAN BARSTAD M.D. Individual | Family Medicine | 2835 FORT MISSOULA RD SUITE 303, PHYSICIAN CENTER 3 MISSOULA, MT 59804 (406) 541-2215 |
| 1477788628 | PATRICK J. CINDRICH, M.D. P.C. Organization | Neurological Surgery | 2835 FORT MISSOULA RD SUITE 303 MISSOULA, MT 59804 (406) 327-3855 |
| 1851691208 | COMMUNITY MEDICAL CENTER INC Organization | Pharmacy (Community/Retail Pharmacy) | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 327-4680 |
| 1992794010 | PATRICK ROBERT DANAHER D.O. Individual | Anesthesiology (Pain Medicine) | 2835 FORT MISSOULA RD SUITE 102 MISSOULA, MT 59804 (406) 728-8420 |
| 1851301071 | LESLIE SCOTT MD Individual | Pediatrics | 2835 FORT MISSOULA RD STE 205 MISSOULA VALLEY PEDIATRICS MISSOULA, MT 59804 (406) 542-0391 |
| 1598018939 | CATHERINE CHARLAGNE CAPPS MD Individual | Specialist | 2835 FORT MISSOULA RD STE 203 MISSOULA, MT 59804 (406) 327-4032 |
| 1417977216 | DR. ROCHELLE SUZANNE WOLFE M.D. Individual | Family Medicine | 2835 FORT MISSOULA RD MISSOULA, MT 59804 (406) 721-5600 |
| 1053304378 | TROY DENNIS WARLING FNP Individual | Nurse Practitioner (Family) | 2835 FORT MISSOULA RD PHYSICIAN CENTER 3, SUITE 204 MISSOULA, MT 59804 (406) 327-3935 |
| 1922054550 | BEVERLY L BRAAK M.D. Individual | Obstetrics & Gynecology | 2835 FORT MISSOULA RD 203 MISSOULA, MT 59804 (406) 327-3875 |
| 1396859690 | LINDA G LAU ANP Individual | Nurse Practitioner (Pediatrics) | 2835 FORT MISSOULA RD BUILDING 3, SUITE 301 MISSOULA, MT 59804 (406) 327-4279 |
| 1922269042 | DR. JENNIFER C GILBERT MD Individual | Family Medicine | 2835 FORT MISSOULA RD SUITE 101 MISSOULA, MT 59804 (406) 327-3920 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609064013, enumerated in the NPI registry 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
This medical organization specializes in Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
The provider's CLIA number is 27D0410875 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..
This NPI record was last updated on October 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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