RYAN J BLACKWELL (NPI# 1164996948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164996948 |
| Entity Type | Individual |
| Full Name | RYAN J BLACKWELL |
| Practice Address |
30 13th St Havre MT 59501 |
| Mailing Address |
30 13th St Havre MT 59501-5222 |
| Practice Telephone | 4062621305 |
| Practice Fax Number | 4062651651 |
| Mailing Telephone | 4062621305 |
| Mailing Fax Number | 4062651651 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4430 Missouri Ave, Fort Leonard Wood, MO 654739098 | 5735960035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871949354 | Ryan Blackwell | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Ohio State University Medical Center, Columbus, OH 43210-1280 | 2016-05-13 |
| Street Address |
30 13TH ST |
| City | HAVRE |
| State | MT |
| Zip Code | 59501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059070 | Northern Montana Hospital | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2005-08-04 |
| 1336702703 | Courtney Lee Funderburk | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2019-04-20 |
| 1841746856 | Molly Salmond | Radiology Practitioner Assistant | 30 13th St, Havre, MT 59501-5222 | 2016-08-30 |
| 1538530027 | Julie Dellerba | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2015-10-09 |
| 1962879809 | Daniel Henry Sorensen | Physician Assistant | 30 13th St, Havre, MT 59501-5222 | 2015-08-26 |
| 1003241472 | Hillary Jean Riggin | Registered Nurse | 30 13th St, Havre, MT 59501-5222 | 2013-09-04 |
| 1902127970 | Susan M Marion | Pathology | 30 13th St, Havre, MT 59501-5222 | 2010-06-14 |
| 1902072333 | Tessa Nichole Roberts | Nutritionist | 30 13th St, Havre, MT 59501-5222 | 2008-05-06 |
| 1619156775 | Northern Montana Hospital | Clinic/Center | 30 13th St, Havre, MT 59501-5222 | 2007-10-25 |
| 1861686560 | Damian Ramon Ymzon | Surgery | 30 13th St, Havre, MT 59501-5222 | 2007-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1083605562 | Robert Allen Babbitt | Physician Assistant | 521 4th St, Havre, MT 59501-3649 | 2005-11-02 |
| 1962879809 | Daniel Henry Sorensen | Physician Assistant | 30 13th St, Havre, MT 59501-5222 | 2015-08-26 |
| 1184064859 | Jessica Marie Sheehy | Physician Assistant | 1410 1st Ave, Havre, MT 59501-6207 | 2013-06-26 |
| 1609816867 | Mark S Jamieson | Physician Assistant | 20 13th St W, Havre, MT 59501-5215 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1285255893 | Teryn Ashli Green | Physician Assistant | 212 5th Ave, Helena, MT 59601-4204 | 2020-05-05 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1891269973 | Jason Enewold | Physician Assistant | 1424 Scott St, Missoula, MT 59802-2435 | 2019-01-11 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1730664723 | Katrin Johanna Kahl | Physician Assistant | 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 | 2018-09-26 |
| 1023591757 | Kaytlin G Deveney | Physician Assistant | 305 W Porphyry St Ste 100, Butte, MT 59701-2000 | 2018-09-09 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
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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.