DR. JOHN A VALLIN (NPI# 1164423711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164423711 |
| Entity Type | Individual |
| Full Name | DR. JOHN A VALLIN |
| Credential | M.D. |
| Practice Address |
1450 Ellis St Suite 201 Bozeman MT 59715-8812 |
| Practice Telephone | 4065870122 |
| Practice Fax Number | 4065875548 |
| Mailing Telephone | 4065870122 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2007-10-15 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
8070 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 22491 | 05 |
| Street Address |
1450 ELLIS ST SUITE 201 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-8812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635904 | Robert B Blake | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-08-03 |
| 1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
| 1639422470 | Jamie Eileen Shafer | Physician Assistant | 1450 Ellis St, Bozeman, MT 59715-8812 | 2012-10-17 |
| 1326208547 | Jennifer Jo Smith | Physical Therapist | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-06-11 |
| 1063683209 | Joshua William Bendz Klatt | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-03-16 |
| 1811182769 | Marcie Renee Lovgren | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-09-12 |
| 1578769824 | Michael Shay Ferrell | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-06-25 |
| 1932324860 | Martin K Gelbke | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-04-16 |
| 1972534816 | Karen E. Claes | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-06 |
| 1588693741 | Richard N Vinglas | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962775411 | John A. Vallin, M.d., LLC | Physical Medicine & Rehabilitation | 85 Brandon Trail Rd, Bozeman, MT 59715-1707 | 2012-02-14 |
| 1477645570 | Bradley Aylor | Physical Medicine & Rehabilitation | 925 Highland Blvd, Suite 1130, Montana Sport and Spine LLC, Bozeman, MT 59715-6900 | 2006-09-28 |
| 1013004241 | Montana Sport and Spine LLC | Physical Medicine & Rehabilitation | 925 Highland Blvd, Suite 1130, Bozeman Sport and Spine LLC, Bozeman, MT 59715-6900 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336250208 | Scott Richard Jahnke | Physical Medicine & Rehabilitation | 3 Meridian Ct Ste 2, Kalispell, MT 59901-4240 | 2006-08-31 |
| 1235132978 | Michael Roy Moore | Physical Medicine & Rehabilitation | 2800 10th Ave N, Billings, MT 59101-0703 | 2005-05-25 |
| 1922254705 | Jamal Abdul Yasser Balouch | Physical Medicine & Rehabilitation | 500 15th Ave S, Great Falls, MT 59405-4324 | 2008-08-13 |
| 1336218387 | Oscar Glenn Heyman | Physical Medicine & Rehabilitation | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-11-06 |
| 1407852312 | Michael Henry Schabacker | Physical Medicine & Rehabilitation | 2900 12th Ave N, Suite 335w, Billings, MT 59101-7506 | 2005-06-24 |
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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.