PHILLIP A GARDNER (NPI# 1003843897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003843897 |
| Entity Type | Individual |
| Full Name | PHILLIP A GARDNER |
| Credential | MD |
| Practice Address |
700 Wesy Kent Missoula MT 59801-4008 |
| Mailing Address |
Po Box 4907 Missoula MT 59806-4907 |
| Practice Telephone | 4065413277 |
| Practice Fax Number | 4065413950 |
| Mailing Telephone | 4065413277 |
| Mailing Fax Number | 4065413950 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 8225 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0101048 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538629209 | Phillip Reid Gardner | Pharmacist | 107 Knox Abbott Dr Unit 1304, Cayce, SC 29033-4406 | 2019-03-20 |
| Street Address |
700 WESY KENT |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720346844 | Jonathan William Fowlkes | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-04-26 |
| 1205106234 | Thomas Clark Hoshaw | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-01-06 |
| 1306857917 | Rocky Mountain Ear Nose & Throat | Otolaryngology | 700 West Kent, Missoula, MT 59801-7000 | 2006-08-10 |
| 1194712307 | Jeffrey Haller | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-10-03 |
| 1205823416 | David Mark Hayes | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-10-03 |
| 1396731949 | Daniel Edward Braby | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-20 |
| 1619962990 | Peter Gordon Vondoersten | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609210525 | David Zheng Cai | Otolaryngology | 2900 12th Ave N Ste 330w, Billings, MT 59101 | 2013-04-22 |
| 1629287727 | Neal Lawerance Rogers | Otolaryngology | 202 S Montana St, Butte, MT 59701-1646 | 2007-05-22 |
| 1184797771 | Billings Otolaryngology PC | Otolaryngology | 2900 12th Ave N Ste 290w, Billings, MT 59101-7501 | 2006-11-15 |
| 1487662334 | St Peters Hospital | Otolaryngology | 2525 Broadway, Suite 105 Helena Ear Nose and Throat Clinic, Helena, MT 59601 | 2006-08-04 |
| 1518936533 | Brennan Thomas Dodson | Otolaryngology | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-03-14 |
| 1841261492 | Sean Michael Demars | Otolaryngology | 2900 12th Ave N., Ste 330w, Billings, MT 59101-7590 | 2006-01-31 |
| 1720089675 | John A Schvaneveldt | Otolaryngology | 160 Heritage Way, Kalispell, MT 59901-3161 | 2005-08-02 |
| 1215253232 | Maria Cecilia Buniel | Otolaryngology | 801 N 29th St, Billings, MT 59101 | 2010-04-15 |
| 1518101443 | Brian R Thomas | Otolaryngology | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2009-04-22 |
| 1124276340 | Nathan Aaron Sanders | Otolaryngology | 3116 Saddle Dr, Suite 4, Helena, MT 59601-8645 | 2008-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.