=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013115856
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEWTON B. COUTINHO MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2007
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2419 MULLAN RD STE A
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59808-1856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-541-1400
-----------------------------------------------------
Fax | 406-541-1401
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2419 MULLAN RD STE A
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59808-1856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-541-1401
-----------------------------------------------------
Fax | 406-541-1401
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/OWNER
-----------------------------------------------------
Name | DR. NEWTON B. COUTINHO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 406-541-1400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RI0011X
-----------------------------------------------------
Taxonomy Name | Interventional Cardiology Physician
-----------------------------------------------------
License Number | 9628
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------