Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Roger Kirkeide

Individual provider Physician Assistant · NPI 1710766274

Samuel Roger Kirkeide is a Physician Assistant in Missoula, Montana. Qualified in 2023, 3 years ago. Practices with Northern Rockies Orthopaedics, PLLP, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
3
Licensed in
MT
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2740 S Ave W Ste 101
Missoula, MT 59804-5137
Phone: (406) 728-6101
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-130126 (MT)

Record details

NPI number1710766274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northern Rockies Orthopaedics, Pllp — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Missoula