JEFFREY A STEPHENSON (NPI# 1053312900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053312900 |
| Entity Type | Individual |
| Full Name | JEFFREY A STEPHENSON |
| Credential | MD |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4063295655 |
| Practice Fax Number | 4063295675 |
| Mailing Telephone | 4063271919 |
| Mailing Fax Number | 4063292937 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
10665 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | M000009936 | 01 | |
| MT | 0089352 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609970300 | Jeffrey George Stephenson | Counselor | 1867 Mt.hope Ave, Rochester, NY 14462 | 2006-09-12 |
| 1366617078 | Jeffrey Stuart Stephenson | Family Medicine | 9880 Angies Way, 250, Louisville, KY 40241-2851 | 2008-04-23 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164125 | Rchp Billings - Missoula LLC | Radiology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2015-09-16 |
| 1003088634 | Michelle Ann Proper | Radiology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2008-03-24 |
| 1740353788 | Radiation Oncology Professional Services, P.C. | Radiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2006-11-16 |
| 1407806987 | Katherine Lee Markette | Radiology | 500 W Broadway St, Radiation Oncology/st Patrick Hospital, Missoula, MT 59802-4003 | 2006-05-12 |
| 1447208079 | Margaret Murga Menendez | Radiology | 500 W Broadway St, Missoula, MT 59802-4003 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952519761 | Eugene Frank Hughes II | Radiology | 5 Green Ln, Butte, MT 59701-3983 | 2007-05-18 |
| 1023061488 | Richard Nmn Belgrad | Radiology | 9200 Trooper Trl, Bozeman, MT 59715-8061 | 2006-05-18 |
| 1134108525 | Elizabeth M Tapen | Radiology | 2091 Little Coyote Rd Ste 161029, Big Sky, MT 59716-7979 | 2006-01-13 |
| 1770561433 | Jeffrey S. Eshleman | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2006-01-04 |
| 1770560948 | Berna Roig Demalignon | Radiology | 1117 29th St South, Benefis Sletten Cancer Institute, Gerat Falls, MT 59405 | 2005-12-28 |
| 1417949033 | Frank R Lamm | Radiology | 1315 Golden Valley Cir, Billings, MT 59102 | 2005-08-19 |
| 1750727152 | Justin M. Linam | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2013-05-13 |
| 1801152160 | Ian Salzman Gallaher | Radiology | 400 S Clark St, Butte, MT 59701 | 2012-04-11 |
| 1205162922 | Marc Bryan Nash | Radiology | 400 S Clark St, Butte, MT 59701-2328 | 2009-10-30 |
| 1609010578 | Breanne Elizabeth Terakedis | Radiology | 801 N 29th St, Billings, MT 59101-0905 | 2009-04-23 |
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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.