MRS. STEPHANIE KEHOE PITCAIRN (NPI# 1073851812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073851812 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE KEHOE PITCAIRN |
| Other Name | STEPHANIE MARIE KEHOE |
| Credential | PA-C |
| Practice Address |
1006 W Main St Bozeman MT 59715-3219 |
| Mailing Address |
915 Highland Blvd Attn Pfs Credentialing Bozeman MT 59715-6902 |
| Practice Telephone | 4064144800 |
| Mailing Telephone | 4064145000 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
58288 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1073851812 | 05 |
| Street Address |
1006 W MAIN ST |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952615 | Dana Myers Sauerwein | Internal Medicine | 1006 W Main St, Bozeman, MT 59715-3219 | 2005-06-15 |
| 1902279961 | Claire Anne Caitlin Crane | Family Medicine | 1006 W Main St, Bozeman, MT 59715-3219 | 2015-11-12 |
| 1700257433 | Elizabeth Sherman | Physician Assistant | 1006 W Main St, Bozeman, MT 59715-3219 | 2015-10-07 |
| 1740693761 | Bozeman Health Urgent Care | Clinic/Center | 1006 W Main St, Bozeman, MT 59715-3219 | 2014-06-06 |
| 1689097156 | Nikki Buck | Nurse Practitioner | 1006 W Main St, Bozeman, MT 59715-3219 | 2014-02-03 |
| 1407151574 | Tammy Jean Chambers | Nurse Practitioner | 1006 W Main St, Bozeman, MT 59715-3219 | 2011-01-20 |
| 1073820783 | Milissa Ann Priebe | Nurse Practitioner | 1006 W Main St, Bozeman, MT 59715-3219 | 2010-09-02 |
| 1912924689 | Ross A Kringlie | Family Medicine | 1006 W Main St, Bozeman, MT 59715-3219 | 2006-07-17 |
| 1417926148 | Nyla S Chandler | Registered Nurse | 1006 W Main St, Bozeman, MT 59715-3219 | 2006-03-15 |
| 1043205586 | John Michael Wise | Specialist | 1006 W Main St, Bozeman, MT 59715-3219 | 2005-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
| 1972972180 | Susan J Dolan | Physician Assistant | 300 N Willson Ave, Ste 2001, Bozeman, MT 59715-3572 | 2015-09-17 |
| 1215205182 | Jessica Ann Pelton | Physician Assistant | 536 Cottonwood Rd, #100, Bozeman, MT 59718 | 2011-12-07 |
| 1508145582 | Melissa Pew | Physician Assistant | 931 Highland Blvd Ste 3350, Bozeman, MT 59715-6914 | 2011-08-09 |
| 1073823845 | Elizabeth A Ansley | Physician Assistant | 2233 W Kagy Blvd Ste 2, Bozeman, MT 59718-5938 | 2010-10-14 |
| 1205074648 | Cynthia M Carter | Physician Assistant | 905 Highland Blvd, Suite 4100, Bozeman, MT 59715-6901 | 2009-01-22 |
| 1629267521 | Laura Sherer Pace | Physician Assistant | 2233 W Kagy Blvd Ste 2, Bozeman, MT 59718-5938 | 2007-10-17 |
| 1528193265 | Theodore R Preiss | Physician Assistant | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
| 1134278716 | Susan G Whittinghill | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2007-01-10 |
| 1366504102 | Larry Dean Walker | Physician Assistant | 935 Highland Blvd, Suite 2210, Bozeman, MT 59715-6998 | 2006-12-15 |
| Find all providers in BOZEMAN | ||||
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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.