KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1033694872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033694872 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | KALISPELL REGIONAL HEALTHCARE UROLOGY SPECIALISTS |
| Practice Address |
350 Heritage Way Ste 2300 Kalispell MT 59901-3167 |
| Practice Telephone | 4068907432 |
| Practice Fax Number | 4068907402 |
| Mailing Telephone | 4068907432 |
| Mailing Fax Number | 4068907402 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | WILLIAM GIBSON (GENERAL COUNSEL) |
| Authorized Official Telephone | 4067521724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kalispell Regional Healthcare Urology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
| 1295006070 | Kalispell Regional Medical Center Inc | Neurological Surgery | 200 Commons Way Ste B&c, Kalispell, MT 59901-1915 | 2012-01-25 |
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1801840780 | Kalispell Regional Medical Center Inc | Clinic/Center | 310 Sunnyview Lane, Kalispell, MT 59901-3129 | 2006-05-22 |
| 1356394944 | Kalispell Regional Medical Center Inc | Clinic/Center | 202 Conway Drive, Suite 100, Kalispell, MT 59901-3153 | 2006-05-18 |
| 1730657628 | Kalispell Regional Medical Center Inc | Internal Medicine | 150 Commons Way, Kalispell, MT 59901-1910 | 2018-11-08 |
| 1245767599 | Kalispell Regional Medical Center Inc | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2017-05-17 |
| 1124566906 | Kalispell Regional Medical Center Inc | General Practice | 298 Osloski Rd, Eureka, MT 59917-9058 | 2017-02-01 |
| 1427503952 | Kalispell Regional Medical Center Inc | Surgery | 308 Louisiana Ave, Libby, MT 59923-2158 | 2016-08-25 |
| 1407301872 | Kalispell Regional Medical Center Inc | Oral & Maxillofacial Surgery | 711 E 13th St, Suite 101, Whitefish, MT 59937-2964 | 2016-08-16 |
| Street Address |
350 HERITAGE WAY STE 2300 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891886867 | Urology Associates PC | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2006-09-27 |
| 1639735616 | Julie Renee Romasko | Nurse Practitioner | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2019-05-14 |
| 1952764920 | Urology Associates, P.C. | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2016-03-29 |
| 1053795930 | Lindsay Ohara | Nurse Practitioner | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2015-07-10 |
| 1336466861 | Sarabeth Lee Martin | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2010-04-23 |
| 1598907149 | Vassilis Jerry Siomos | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2009-03-28 |
| 1598881377 | William Stewart | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2007-03-22 |
| 1518058551 | John D Andenoro | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922345396 | Dayton Rusby Seabaugh | Urology | 395 Lower Valley Rd, Kalispell, MT 59901-7974 | 2013-01-05 |
| 1588955256 | Michael J Berson | Urology | 169 Sunset Trl, Kalispell, MT 59901-7820 | 2011-04-28 |
| 1891886867 | Urology Associates PC | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2006-09-27 |
| 1598867061 | Craig Grinnell Hinman | Urology | 625 7th Ave E, Kalispell, MT 59901-5050 | 2006-09-03 |
| 1952764920 | Urology Associates, P.C. | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2016-03-29 |
| 1336466861 | Sarabeth Lee Martin | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2010-04-23 |
| 1972745180 | Geraldine Sheu | Urology | 350 Heritage Way, Suite 2300, Kalispell, MT 59901-3158 | 2009-04-02 |
| 1598907149 | Vassilis Jerry Siomos | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2009-03-28 |
| 1366659476 | Gregory Thomas Adams | Urology | 350 Heritage Way, 2300, Kalispell, MT 59901-3158 | 2007-05-17 |
| 1598881377 | William Stewart | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2007-03-22 |
| Find all providers in KALISPELL | ||||
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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.