HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC (NPI# 1386199933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386199933 |
Entity Type | Organization |
Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC |
Practice Address |
2827 Fort Missoula Rd Missoula MT 59804-7408 |
Mailing Address |
5220 Belfort Rd Suite 130 Jacksonville FL 32256-6017 |
Practice Telephone | 4063274514 |
Practice Fax Number | 4063273974 |
Enumeration Date | 2016-08-23 |
Last Update Date | 2020-03-03 |
Authorized Official Name | DAVID BASSIN (CEO) |
Authorized Official Telephone | 8556895105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 1386199933 | 05 |
Street Address |
2827 FORT MISSOULA RD |
City | MISSOULA |
State | MT |
Zip Code | 59804-7408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073597639 | Vern Hicks Horton | Surgery | 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804-7408 | 2005-12-06 |
1922612431 | Jaala M Wickman | Student in an Organized Health Care Education/Training Program | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-09-02 |
1679193551 | Jared Hartley | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-21 |
1316567332 | Pat Roosa | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
1033739123 | Sarah Elliott | Speech-Language Pathologist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
1578183836 | Evelyn M Redfern | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
1811517196 | Rebeccah Tye Mcmillan | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
1447888557 | Bryann Lea Bausch | Social Worker | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-01 |
1528694684 | Kate Elizabeth Berry | Nurse Practitioner | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-03-19 |
1316583511 | Hospitalist Medicine Physicians of California - Tcs, PC | Internal Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2019-11-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
Find all providers in zip 59804 |
Taxonomy Code | 2083P0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Undersea and Hyperbaric Medicine |
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
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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.