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

Theodore Maillette, MD

Individual provider Family Medicine Physician · NPI 1912403072

Theodore Maillette, MD is a Family Practice in Kalispell, Montana. Graduated from University of Wisconsin School of Medicine in 2018, 8 years ago. Practices with Kalispell Regional Medical Center Inc, a 418-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
8
Trained at
University of Wisconsin School of Medicine
Licensed in
MT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

70 Village Loop Rd
Kalispell, MT 59901-2793
Phone: (406) 752-8877
Fax: (406) 756-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 148638 (MT)

Record details

NPI number1912403072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kalispell Regional Medical Center Inc — 418 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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