TED B. LAINE (NPI# 1043294572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043294572 |
| Entity Type | Individual |
| Full Name | TED B. LAINE |
| Credential | M.D. |
| Practice Address |
2825 Fort Missoula Rd Ste 201 Missoula MT 59804-7420 |
| Practice Telephone | 4067215566 |
| Practice Fax Number | 4067281868 |
| Mailing Telephone | 4067215566 |
| Mailing Fax Number | 4067281868 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4247 | MT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1383801 | 05 | |
| MT | 005-6472 | 05 | |
| MT | BLUE CROSS/BLUE SHIELD | 12790 | 01 |
| Street Address |
2825 FORT MISSOULA RD STE 201 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642577 | John K Beighle | Podiatrist | 2825 Fort Missoula Rd, Ste 106, Missoula, MT 59804-7420 | 2005-07-12 |
| 1306379037 | Generations Family Medicine and Obstetrics | Family Medicine | 2825 Fort Missoula Rd, Suite 115, Missoula, MT 59804 | 2017-04-10 |
| 1922540343 | Wellcare Ime, LLC | Specialist | 2825 Fort Missoula Rd, Community Bldg 1, Suite 101, Missoula, MT 59804-7420 | 2016-11-16 |
| 1487084547 | Michelle Sokoloski | Nurse Practitioner | 2825 Fort Missoula Rd, Suite113, Missoula, MT 59804-7420 | 2013-11-26 |
| 1689973570 | T Shull Lemire Md LLC | Internal Medicine | 2825 Fort Missoula Rd, Ste 317b, Missoula, MT 59804-7420 | 2011-03-18 |
| 1497058572 | Montana Foot and Ankle Institute, Pllc | Clinic/Center | 2825 Fort Missoula Rd, Suite #106, Missoula, MT 59804-7420 | 2010-12-13 |
| 1063727279 | Clancy L. Cone, Md, PC | Clinic/Center | 2825 Fort Missoula Rd, Missoula, MT 59804-7420 | 2010-08-11 |
| 1609192160 | James M Summers, Do & Associates PC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7480 | 2010-04-08 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| 1851545594 | Thomas A. Baumgartner Md PC | Specialist | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7420 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549829 | Jolyn Ortega | Specialist | 2539 Granary Rd, Missoula, MT 59808-8748 | 2020-08-17 |
| 1629609219 | Montana Yoga Therapy | Specialist | 2825 Stockyard Rd Ste H3, Missoula, MT 59808-1507 | 2020-02-01 |
| 1841775772 | Elli Marie Matkin | Specialist | 210 N Higgins Ave Ste 220, Missoula, MT 59802-4443 | 2018-09-26 |
| 1407361736 | Mothers' Milk Bank of Montana | Specialist | 2825 Stockyard Rd Ste C1, Missoula, MT 59808-1502 | 2017-12-08 |
| 1952700213 | Barbara Ann Balko | Specialist | 4825 Lower Miller Creek Rd, Missoula, MT 59803-9718 | 2014-08-21 |
| 1831421296 | Melissa Wardlow | Specialist | 211 N Higgins Ave Ste 403, Missoula, MT 59802-4488 | 2010-02-09 |
| 1912132481 | Michelle Marlene Mcclain | Specialist | 2409 Dearborn Ave Ste I, Missoula, MT 59801-7586 | 2009-05-27 |
| 1194964346 | Erin E Williams | Specialist | 515 S Reserve St Ste 5, Missoula, MT 59801-2125 | 2009-02-11 |
| 1225280001 | Bradford Walker Mcmullin | Specialist | 2525 Humble Rd, Missoula, MT 59804-6149 | 2008-10-13 |
| 1912127770 | Gwen Farnsworth | Specialist | 30 Fort Missoula # 10, Missoula, MT 59804-7203 | 2007-04-26 |
| Find all providers in MISSOULA | ||||
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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.