MR. STEPHEN MICHAEL COTTLE (NPI# 1093979155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093979155 |
Entity Type | Individual |
Full Name | MR. STEPHEN MICHAEL COTTLE |
Credential | PA-C |
Practice Address |
536 Cottonwood Rd. Suite 100 Bozeman MT 59718 |
Practice Telephone | 4065868029 |
Practice Fax Number | 4065868009 |
Mailing Telephone | 4065868029 |
Mailing Fax Number | 4065868009 |
Enumeration Date | 2008-07-17 |
Last Update Date | 2011-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 002776 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
002776 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
218 | MT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002776 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
536 COTTONWOOD RD. SUITE 100 |
City | BOZEMAN |
State | MT |
Zip Code | 59718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
Find all providers in zip 59718 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174973564 | Jacob Wheeler | Physician Assistant | 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 | 2016-06-15 |
1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
1346642667 | Jennifer Vollmer | Physician Assistant | 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 | 2014-09-17 |
1033558887 | Alpine Orthopedics | Physician Assistant | 536 Cottonwood Rd, Bozeman, MT 59718 | 2013-06-14 |
1245678424 | Sara R Lemert | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2013-06-10 |
1811182769 | Marcie Renee Lovgren | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-09-12 |
1972534816 | Karen E. Claes | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-06 |
1386634491 | Patricia E Cantrell | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-10-28 |
1194715219 | Brian J Frykman | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598965097 | Travis Lee Harris | Physician Assistant | 500 W. Broadway, Suite 320, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-07-23 |
1457576407 | Rosalee Shorter | Physician Assistant | 341 Montana Hwy 135, Saint Regis, MT 59866-0176 | 2007-04-16 |
1245341874 | Tracy Edward Rogers | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-08-31 |
1881604668 | Harley G Morrell | Physician Assistant | 2877 Overland Ave Ste C, Billings, MT 59102-7465 | 2006-08-08 |
1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
1447802178 | Reid Merrill Gage | Physician Assistant | 801 N 29th St, Billings, MT 59101-0905 | 2019-07-12 |
1083192025 | Tyson Vanderby | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2018-08-01 |
1205384690 | Christine Moen | Physician Assistant | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2016-09-14 |
1437541471 | Stephen Andrew Shepro | Physician Assistant | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2015-02-27 |
1902237167 | Christina Richardson | Physician Assistant | 2800 10th Ave N, Billings, MT 59101-0703 | 2013-12-12 |
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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.