Provider Demographics
NPI:1609885128
Name:SCHRUMPF, PHILIP K (DPM)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:K
Last Name:SCHRUMPF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 FORT MISSOULA RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7423
Mailing Address - Country:US
Mailing Address - Phone:406-542-0800
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:2835 FORT MISSOULA RD
Practice Address - Street 2:SUITE #304
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7423
Practice Address - Country:US
Practice Address - Phone:406-542-0800
Practice Address - Fax:406-294-0967
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT128335E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000011881OtherBCBS
MT0390117Medicaid
MT010001188Medicare PIN
MT000011881OtherBCBS
U62105Medicare UPIN