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NPI Code Detail

MEDICARE: NIALL PATRICK MADIGAN MD

MEDICARE: NIALL PATRICK MADIGAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician9801MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00274185OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000091986OTHERMTBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407803208
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIALL PATRICK MADIGAN MD
Provider Business Mailing Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Provider Business Practice Location Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 12/15/2011

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Directions to “ NIALL PATRICK MADIGAN MD” Practice Location

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