FREDERICK TAI (NPI# 1083710495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083710495 |
| Entity Type | Individual |
| Full Name | FREDERICK TAI |
| Credential | MD |
| Practice Address |
2230 N Reserve St Missoula MT 59808-1321 |
| Mailing Address |
Po Box 16900 Missoula MT 59808 |
| Practice Telephone | 4063273850 |
| Practice Fax Number | 4063273851 |
| Mailing Telephone | 4063274620 |
| Mailing Fax Number | 4065495928 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 8751 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000092256 | 01 |
| MT | 0150540 | 05 |
| Street Address |
2230 N RESERVE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659327609 | Kimberly Blakeslee | Family Medicine | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1321 | 2006-05-25 |
| 1023470994 | Mary Sinamon | Pharmacist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2016-03-22 |
| 1780921908 | Katie Erin Giammona | Pharmacist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2013-01-08 |
| 1144408022 | Northgate Primary Care | Clinic/Center | 2230 N Reserve St, Missoula, MT 59808-1321 | 2008-02-04 |
| 1265659239 | Jeffrey Scot Adams | Family Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-04-19 |
| 1629111992 | First Care Northgate | Specialist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-02-15 |
| 1912055492 | Phyllis Sapienza | Internal Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-01-08 |
| 1437105087 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 2230 N Reserve St, Missoula, MT 59808-1321 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901492 | Judith Elinor Olson | Internal Medicine | 1430 Trotting Horse Ln, Missoula, MT 59804-5806 | 2013-06-13 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1427281203 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway Street, Missoula, MT 59802-4096 | 2009-08-27 |
| 1366672578 | Hayley Ann Miller | Internal Medicine | 2819 Great Northern Loop Ste 200, Missoula, MT 59808-1750 | 2009-07-22 |
| 1063646586 | Kathleen Blaney Marshall | Internal Medicine | 4700 Nicole Ct, Missoula, MT 59803-2792 | 2009-05-12 |
| 1619111325 | Gary Frederick Walter | Internal Medicine | 10400 Horseback Ridge Rd, Missoula, MT 59804-5800 | 2009-04-24 |
| 1407928765 | Phillip M Holman | Internal Medicine | 715 Kensintgton Ave., Suite 24b, Missoula, MT 59801-8644 | 2006-11-14 |
| 1205913506 | Brian Wayne Davis | Internal Medicine | 4625 Bordeaux Blvd, Missoula, MT 59808-8686 | 2006-11-01 |
| 1134225568 | Michael John Hutchins | Internal Medicine | 2809 Great Northern Loop Ste 410, Missoula, MT 59808-1749 | 2006-09-15 |
| 1245245042 | Susan Elizabeth Curtis | Internal Medicine | 2687 Palmer St Ste C, Missoula, MT 59808-1710 | 2006-07-30 |
| 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.