DANIEL B SPOON (NPI# 1104021781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104021781 |
| Entity Type | Individual |
| Full Name | DANIEL B SPOON |
| Credential | M.D. |
| Practice Address |
500 W Broadway St Ste 320 Missoula MT 59802-4003 |
| Practice Telephone | 4063295615 |
| Practice Fax Number | 4063292791 |
| Mailing Telephone | 4063295615 |
| Mailing Fax Number | 4063292791 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
49943 | MT | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
49943 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| Street Address |
500 W BROADWAY ST STE 320 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619925575 | Jon Brant Mcgregor | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2006-05-04 |
| 1427689983 | Matthew Randall Fleming | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2020-02-03 |
| 1306394226 | Matthew Barton | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2016-09-20 |
| 1861863839 | Michael Allen Kohler | Nurse Practitioner | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2015-10-15 |
| 1841613932 | Karyn Regina Sande | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2014-01-27 |
| 1225460298 | Brandon Jaime Egner | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2013-08-01 |
| 1730521477 | Rachel A Ashbrook | Physician Assistant | 500 W Broadway St Ste 320, Missoula, MT 59802 | 2013-07-23 |
| 1588808646 | Nicholas Alan Mantini | Student in an Organized Health Care Education/Training Program | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2009-04-20 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
| 1609903624 | Stephen M Dodge | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487189874 | P.a. Kelly Md Pllc | Internal Medicine | 2875 Tina Ave, Suite 111, Missoula, MT 59808-1581 | 2017-04-24 |
| 1649401076 | Providence Health & Services Mt | Internal Medicine | 2829 Great Northern Loop, Suite 300, Missoula, MT 59808-1752 | 2009-08-03 |
| 1013115856 | Newton B. Coutinho Md Pllc | Internal Medicine | 2875 Tina Ave, Suite 111, Missoula, MT 59808-1581 | 2007-07-03 |
| 1609903624 | Stephen M Dodge | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073770525 | St Patrick Hosp and Health Sci Ctr | Internal Medicine | 357 Airport Rd, St. Ignatius, MT 59865-9720 | 2008-05-21 |
| 1871750554 | Providence Health & Services Mt | Internal Medicine | 300 W Mercury Street, Butte, MT 59701-1652 | 2008-05-20 |
| 1518124379 | Providence Health & Services Mt | Internal Medicine | 1102 E Commercial Ave, Anaconda, MT 59711-2718 | 2008-05-20 |
| 1790851319 | Richard David Paustian | Internal Medicine | 32 Medical Park Dr, Helena, MT 59601 | 2006-11-27 |
| 1669472395 | Robert Zelman | Internal Medicine | 1300 28th St S, Suite 10, Great Falls, MT 59405-5296 | 2005-07-22 |
| 1760819486 | St. Vincent Healthcare | Internal Medicine | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7506 | 2013-09-27 |
| 1932425329 | Shawn C. Kelly | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2010-04-12 |
| 1457675084 | T Raymond Foley Iv | Internal Medicine | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2010-03-25 |
| 1396075297 | Per Sommer | Internal Medicine | 801 N 29th St, Billings, MT 59101 | 2009-12-28 |
| 1750510624 | Ronald Brandon Henckel | Internal Medicine | 2900 12th Ave N Ste 204e, Billings, MT 59101-7502 | 2009-07-13 |
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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.