ANNE MANKTELOW


Address: 2835 Fort Missoula Road, Ste 306 Pediatric Surgery of Montana, Missoula, MT 59804
Phone: 4063274730

ANNE MANKTELOW (NPI# 1144230368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144230368
Entity Type Individual
Full Name ANNE MANKTELOW
Credential MD
Practice Address 2835 Fort Missoula Road
Ste 306 Pediatric Surgery of Montana
Missoula
MT 59804
Mailing Address Po Box 16900
Missoula
MT 59808
Practice Telephone 4063274730
Mailing Telephone 4063274620
Mailing Fax Number 4065495928
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
MT10170 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 0096560 05

Office Location

Street Address 2835 FORT MISSOULA ROAD
STE 306 PEDIATRIC SURGERY OF MONTANA
City MISSOULA
State MT
Zip Code 59804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841247467 Dirk R Gottman Pediatrics 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-05-28
1255361499 Georgia G Maynard Nurse Practitioner 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-07-04
1528002821 Kristene A Provo Physician Assistant 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-06-16
1346281359 Lindsay A Richards Obstetrics & Gynecology 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-06-09
1457391203 Eric J Kress Family Medicine 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-06-08
1235179508 Kathleen S Rogers Pediatrics 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063019297 Momentum Speech Therapy, PC Speech-Language Pathologist 9885 O'brien Creek Road, Missoula, MT 59804 2020-10-01
1033633037 Marissa Clark Genetic Counselor, MS 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 2017-08-01
1104295245 Scott Richter Specialist/Technologist 2892 Ringo Dr, Missoula, MT 59804 2015-09-18
1467860353 Zachary Ueland Pharmacist 4000 Highway 93 South, Missoula, MT 59804 2014-07-24
1316378185 Tracy Laurel Brothers Counselor 1305 Wyoming Street, Missoula, MT 59804 2013-12-04
1447683651 Granite Pharmacy Missoula, LLC Durable Medical Equipment & Medical Supplies 2230 27th Ave. West, Suite 2, Missoula, MT 59804 2013-08-12
1871843953 Autum Emerson Howell Nurse Practitioner 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 2012-09-14
1821353939 Carlyn Doyle Nurse Practitioner 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 2012-07-05
1396011961 Patricia Jean Evans Internal Medicine 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 2012-03-28
1205126794 Pacific Medical, Inc. Prosthetic/Orthotic Supplier 2732 South Ave West, Suite 202, Missoula, MT 59804 2011-04-18
Find all providers in zip 59804

Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770716201 Gavin Alexander Falk Surgery 1333 Surgical Services Drive, Northwest Montana Surgical Associates, Kalispell, MT 59901 2009-09-01
1255332102 Glenn A Winslow Surgery 3000 15th Avenue South, Great Falls, MT 59405 2005-08-02
1740413061 Federico Gian Filippo Seifarth Surgery 1333 Surgical Services Way, Kalispell, MT 59901-4844 2009-09-03
1437129046 Scott William Lucas Surgery 3000 15th Ave S, Great Falls, MT 59405 2006-01-25

Competitor

Search similar providers

City MISSOULA
Zip Code 59804

Improve Information

Please comment or provide details below to improve the information on ANNE MANKTELOW.

Dataset Information

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.

Trending Searches