MS. LAUREL G. CHAMBERS (NPI# 1154334712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154334712 |
| Entity Type | Individual |
| Full Name | MS. LAUREL G. CHAMBERS |
| Credential | P.A.-C |
| Practice Address |
1208 6th Ave Superior MT 59872-9618 |
| Mailing Address |
1208 6th Ave P.o. Box 698 Superior MT 59872-9618 |
| Practice Telephone | 4068224278 |
| Practice Fax Number | 4068224912 |
| Mailing Telephone | 4068224278 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
249 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0436410 | 05 | |
| MT | BC/BS OF MONTANA | 93073 | 01 |
| Street Address |
1208 6TH AVE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253131 | William Breck Howard | Radiology | 1208 6th Ave, Superior, MT 59872-9667 | 2005-08-30 |
| 1073080461 | Missoula Community Health Services, Inc | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9667 | 2018-10-24 |
| 1477804060 | Nardy Stascavage | Registered Nurse | 1208 6th Ave, Superior, MT 59872-9618 | 2012-09-24 |
| 1073877742 | Mineral Regional Health Center Inc. | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9618 | 2012-06-27 |
| 1902063688 | Providence Health & Services Mt | Internal Medicine | 1208 6th Ave, Superior, MT 59872-9618 | 2008-05-20 |
| 1710165105 | Missoula Community Health Services, Inc | General Practice | 1208 6th Ave, Superior, MT 59872-9618 | 2008-02-07 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| 1093809196 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave, Superior, MT 59872-9618 | 2006-10-03 |
| 1831290683 | Karyn Thornton | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-09-26 |
| 1124031786 | Ernesto E. Ornelas | Nurse Practitioner | 1208 6th Ave, Superior, MT 59872-9618 | 2006-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285851626 | Alyssa Rhodes Richardson | Physician Assistant | 3 Superior Dr # 100b, Superior, CO 80027-8653 | 2007-04-19 |
| 1962439547 | Kristofer Michael Wallman | Physician Assistant | Twin Ports Va Outpatient Clinic, 3520 Tower Ave., Superior, WI 54880-5335 | 2006-06-27 |
| 1992935126 | Miranda M Schoenecker | Physician Assistant | 3520 Tower Ave, Superior, WI 54880-5335 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204988 | David Michael Neill | Physician Assistant | 310 South Sansome St., Philipsburg, MT 59858 | 2017-09-21 |
| 1528362159 | Carlye Bolstad | Physician Assistant | 3703 Harrison Ave Ste B, Butte, MT 59701-6897 | 2010-12-21 |
| 1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
| 1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
| 1205858867 | Brooke Kendra Schmidt | Physician Assistant | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2006-07-24 |
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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.