TIMOTHY N STREET (NPI# 1285635136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285635136 |
| Entity Type | Individual |
| Full Name | TIMOTHY N STREET |
| Credential | PA C |
| Practice Address |
1600 Division Rd Great Falls MT 59404-1921 |
| Mailing Address |
1400 29th St S Great Falls MT 59405-5353 |
| Practice Telephone | 4062681600 |
| Practice Fax Number | 4067713549 |
| Mailing Telephone | 4064542171 |
| Mailing Fax Number | 4067713021 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
143 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0436800 | 05 |
| Street Address |
1600 DIVISION RD |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831685247 | Russell R Herring | Nurse Practitioner | 1600 Division Rd, Great Falls, MT 59404-1921 | 2018-07-09 |
| 1588044630 | Paul Meiners | Pediatrics | 1600 Division Rd, Great Falls, MT 59404 | 2015-06-04 |
| 1154602431 | Katie Melissa Kaye Brown | Physician Assistant | 1600 Division Rd, Great Falls, MT 59404-1921 | 2011-08-31 |
| 1720367840 | Nicole Jacqueline White | Nurse Practitioner | 1600 Division Rd, Great Falls, MT 59404-1921 | 2011-08-07 |
| 1093735979 | Kris A Kuper | Pediatrics | 1600 Division Rd, Great Falls, MT 59404-1921 | 2006-07-20 |
| 1063413912 | Carey J Welsh | Family Medicine | 1600 Division Rd, Great Falls, MT 59404-1921 | 2005-08-02 |
| 1083615959 | David R Engbrecht | Family Medicine | 1600 Division Rd, Great Falls, MT 59404-1921 | 2005-08-02 |
| 1134120009 | Jeffrey P Hinz | Pediatrics | 1600 Division Rd, Great Falls, MT 59404-1921 | 2005-08-02 |
| 1104827070 | Timothy N Sinton | Physician Assistant | 1600 Division Rd, Great Falls, MT 59404-1921 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
| 1831163047 | Stephen Anthony Mcclary | Physician Assistant | 3511 1st Ave N, Great Falls, MT 59401-3527 | 2006-02-14 |
| 1699757682 | David P Brost | Physician Assistant | 1117 29th St S # Sci, Great Falls, MT 59405-5306 | 2005-11-16 |
| 1366431678 | Jamie Barnes | Physician Assistant | 400 15th Avenue South, Suite 206, Great Falls, MT 59405 | 2005-10-19 |
| 1184102162 | Nash John Hallfrisch | Physician Assistant | 115 4th St S, Great Falls, MT 59401-3618 | 2018-08-01 |
| 1306364724 | Noelle Marie-lynn Steiner | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-06 |
| 1245646041 | Big Sky Family Care | Physician Assistant | 2517 7th Ave S Ste A3, Great Falls, MT 59405-3033 | 2014-07-01 |
| 1750664454 | Sara Kathryn Daniel | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2011-09-20 |
| 1184929572 | Jamie Ann Aleba | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2011-01-17 |
| 1689977175 | Kelsey A. Bock | Physician Assistant | 500 15th Avenue South, Suite 1, Great Falls, MT 59405 | 2010-12-06 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on TIMOTHY N STREET.
| 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.