JOSE C DE SOUZA (NPI# 1275534158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275534158 |
| Entity Type | Individual |
| Full Name | JOSE C DE SOUZA |
| Credential | MD |
| Practice Address |
430 Windward Way Ste 100 Kalispell MT 59901-2619 |
| Practice Telephone | (406) 751-5364 |
| Practice Fax Number | 4067515367 |
| Mailing Telephone | 4067515364 |
| Mailing Fax Number | 4067515367 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
8767 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 1275534158 | 01 |
| MT | 1275534158 | 05 |
| Street Address |
430 WINDWARD WAY STE 100 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949885 | Kalispell Regional Medical Center Inc | Clinic/Center | 430 Windward Way Ste 100, Kalispell, MT 59901-2619 | 2010-04-06 |
| 1124184411 | Alison E Schneider | Internal Medicine | 430 Windward Way Ste 100, Kalispell, MT 59901-2619 | 2006-12-29 |
| 1164583373 | Jeffrey Allen Tjaden | Internal Medicine | 430 Windward Way Ste 100, Kalispell, MT 59901-2619 | 2006-12-12 |
| 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 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851476287 | Ruth Louise Sampson | Internal Medicine | 403 S 4th St W, Missoula, MT 59801-2631 | 2006-10-26 |
| 1972544617 | David F. Johnson | Internal Medicine | 708 Broadwater Ave, Billings, MT 59101-2710 | 2006-06-10 |
| 1902882673 | Reed Stanton Christensen | Internal Medicine | 1045 N 30th St, Department of Diabetes and Endocrinology, Billings, MT 59101-0733 | 2005-12-15 |
| 1922362904 | Haleigh Anne James | Internal Medicine | 1045 N 30th St, Billings, MT 59101 | 2012-06-25 |
| 1730449380 | Meredith F Ross | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802 | 2012-05-16 |
| 1396987699 | Katy Jane Brown | Internal Medicine | 900 N Orange St, Suite 304, Missoula, MT 59802-2998 | 2009-04-01 |
| 1235370065 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, 1st Floor, Missoula, MT 59802-4096 | 2009-03-06 |
| 1356517817 | Nolawit Tesfaye | Internal Medicine | 1045 N 30th St, Billings, MT 59101 | 2008-05-05 |
| 1093845513 | Brian G Rose | Internal Medicine | 931 Highland Blvd Ste 3260, Bozeman, MT 59715-6907 | 2007-03-06 |
| 1609945104 | Arthritis and Osteoporosis Center PC | Internal Medicine | 708 Broadwater Ave, Billings, MT 59101-2710 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
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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.