JOHN H. PETRISKO (NPI# 1083728448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083728448 |
| Entity Type | Individual |
| Full Name | JOHN H. PETRISKO |
| Credential | MD |
| Practice Address |
1020 N 27th St Billings MT 59101-0760 |
| Mailing Address |
Po Box 35100 Billings MT 59107-5100 |
| Practice Telephone | 4062382500 |
| Mailing Telephone | 4062382500 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
11168 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MDCD PIN | 0157046 | 01 |
| MT | BCBS PIN | 000094776 | 01 |
| Street Address |
1020 N 27TH ST |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-0760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532897 | Harry Arvin Kopelman | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2005-07-15 |
| 1952917619 | Susan Finn | Nurse Practitioner | 1020 N 27th St, Billings, MT 59101-0760 | 2020-09-18 |
| 1083240998 | Chance Stewart | Student in an Organized Health Care Education/Training Program | 1020 N 27th St, Billings, MT 59101-0760 | 2020-03-23 |
| 1467925271 | Hannah Wolf | Dietitian, Registered | 1020 N 27th St, Billings, MT 59101-0760 | 2019-01-03 |
| 1689165789 | Diane Thomas Hurd | Nurse Practitioner | 1020 N 27th St, Billings, MT 59101 | 2018-05-23 |
| 1023518495 | Anne Evelyn Mcrae | Nurse Practitioner | 1020 N 27th St, 410, Billings, MT 59102 | 2018-02-12 |
| 1912386947 | University of Utah Adult Services | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2015-05-22 |
| 1922485572 | University of Utah Adult Services | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2015-05-04 |
| 1679997597 | Angela Buckley | Counselor | 1020 N 27th St, Ste 200, Billings, MT 59101-0760 | 2014-02-12 |
| 1740629195 | Annette M. Darkenwald | Social Worker | 1020 N 27th St, Billings, MT 59101 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781822 | Clarus Ime of Montana LLC | Preventive Medicine | 2415 Dearborn Ave, Missoula, MT 59801-7529 | 2019-10-16 |
| 1538360284 | Kevin S Payne | Preventive Medicine | 50 Juniper Way, Whitefish, MT 59937-8088 | 2007-05-30 |
| 1023059128 | John C Schumpert | Preventive Medicine | 210 E Pine St, Ste 100, Missoula, MT 59802-4533 | 2006-06-09 |
| 1396399382 | Gary Michael Rapaport | Preventive Medicine | 720 Madison Ave, Helena, MT 59601-2728 | 2019-07-28 |
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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.