KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1053790063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053790063 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | KALISPELL REGIONAL HEALTHCARE SURGICAL SPECIALISTS |
| Practice Address |
1333 Surgical Services Way Kalispell MT 59901-4844 |
| Practice Telephone | 4067515392 |
| Practice Fax Number | 4067515406 |
| Mailing Telephone | 4067515392 |
| Mailing Fax Number | 4067515406 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | CRAIG J LAMBRECHT (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
29568 | MT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kalispell Regional Healthcare Surgical 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 |
| 1033694872 | Kalispell Regional Medical Center Inc | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2018-09-27 |
| 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 |
| Street Address |
1333 SURGICAL SERVICES WAY |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616643 | Neal W Wilkinson | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2005-08-12 |
| 1639628761 | Mattie Murphy | Physician Assistant | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2016-09-30 |
| 1104295211 | Jaimee Gribben | Nurse Practitioner | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2015-09-18 |
| 1629458385 | Dimitra Maria Lotakis | Student in an Organized Health Care Education/Training Program | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2015-06-08 |
| 1740413061 | Federico Gian Filippo Seifarth | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2009-09-03 |
| 1972748127 | Kalispell Regional Medical Center, Inc. | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2008-12-02 |
| 1194903377 | Joan C Driscoll | Nurse Practitioner | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2008-02-10 |
| 1669528287 | Erik Peltz | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2007-01-26 |
| 1962565432 | Stephen G Milheim | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2006-12-18 |
| 1003979550 | Bennett Jon Dykstra | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2006-12-18 |
| Find all providers in the same location | ||||
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616643 | Neal W Wilkinson | Surgery | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2005-08-12 |
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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.