KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1245767599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245767599 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | FLATHEAD VALLEY ORTHOPEDICS CLINIC |
| Practice Address |
111 Sunnyview Ln Kalispell MT 59901-3164 |
| Mailing Address |
310 Sunnyview Ln Kalispell MT 59901-3129 |
| Practice Telephone | 4067527900 |
| Practice Fax Number | 4062570253 |
| Mailing Telephone | 4067587036 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | CRAIG J LAMBRECHT (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Flathead Valley Orthopedics Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
| 1295006070 | Kalispell Regional Medical Center Inc | Neurological Surgery | 200 Commons Way Ste B&c, Kalispell, MT 59901-1915 | 2012-01-25 |
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1801840780 | Kalispell Regional Medical Center Inc | Clinic/Center | 310 Sunnyview Lane, Kalispell, MT 59901-3129 | 2006-05-22 |
| 1356394944 | Kalispell Regional Medical Center Inc | Clinic/Center | 202 Conway Drive, Suite 100, Kalispell, MT 59901-3153 | 2006-05-18 |
| 1730657628 | Kalispell Regional Medical Center Inc | Internal Medicine | 150 Commons Way, Kalispell, MT 59901-1910 | 2018-11-08 |
| 1033694872 | Kalispell Regional Medical Center Inc | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2018-09-27 |
| 1124566906 | Kalispell Regional Medical Center Inc | General Practice | 298 Osloski Rd, Eureka, MT 59917-9058 | 2017-02-01 |
| 1427503952 | Kalispell Regional Medical Center Inc | Surgery | 308 Louisiana Ave, Libby, MT 59923-2158 | 2016-08-25 |
| 1407301872 | Kalispell Regional Medical Center Inc | Oral & Maxillofacial Surgery | 711 E 13th St, Suite 101, Whitefish, MT 59937-2964 | 2016-08-16 |
| Street Address |
111 SUNNYVIEW LN |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
| 1962744011 | Kevin R Criswell | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2013-03-26 |
| 1790021434 | Randy W Dugan | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2012-12-28 |
| 1811270705 | Rodney N Michel | Physical Therapy Assistant | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-09-27 |
| 1740563014 | Ashley N Wenz | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-09-23 |
| 1992083604 | Marcella D Sandry | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-07-29 |
| 1831325810 | Tyler M Ladenburg | Physical Therapist | 111 Sunnyview Ln, Suite A, Kalispell, MT 59901-3164 | 2009-06-04 |
| 1972744696 | Kelly L Malmin | Physical Therapist | 111 Sunnyview Ln, B, Kalispell, MT 59901-3164 | 2009-03-09 |
| 1285898569 | Joseph Henry Bergman | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2008-07-15 |
| 1437356847 | Benjamin W Kingan | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740571777 | Timothy Andrew Joyce | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2011-04-25 |
| 1902124084 | Scott William Rogers | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2010-05-13 |
| 1659514149 | Mark Erich Magill | Orthopaedic Surgery | 350 Heritage Way, Suite 1200, Kalispell, MT 59901-3158 | 2009-04-13 |
| 1285898569 | Joseph Henry Bergman | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2008-07-15 |
| 1285839894 | Benjamin D Ward | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2007-06-15 |
| 1013028950 | Lawrence John Iwersen | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-08-31 |
| 1730290610 | Stanley Harland Makman | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-08-31 |
| 1295846186 | Albert David Olszewski | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-08-31 |
| 1568573541 | Rodney Dale Brandt | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-08-31 |
| 1568576189 | Karen N Perser | Orthopaedic Surgery | 350 Heritage Way, Suite 1200, Kalispell, MT 59901-3158 | 2006-08-19 |
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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.