Healthcare Provider Details

I. General information

NPI: 1336274216
Provider Name (Legal Business Name): RIMROCK PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 RIMROCK RD STE L
BILLINGS MT
59102-0700
US

IV. Provider business mailing address

1690 RIMROCK RD STE L
BILLINGS MT
59102-0700
US

V. Phone/Fax

Practice location:
  • Phone: 406-256-0077
  • Fax: 406-256-3069
Mailing address:
  • Phone: 406-256-0077
  • Fax: 406-256-3069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number57
License Number StateMT

VIII. Authorized Official

Name: DR. MERRELL K KAUWE
Title or Position: OWNER
Credential: DPM
Phone: 406-256-0077