HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC


Address: 2827 Fort Missoula Rd, Missoula, MT 59804-7408
Phone: 4063274514

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MT 1386199933 05

Office Location

Street Address 2827 FORT MISSOULA RD
City MISSOULA
State MT
Zip Code 59804-7408

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

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.

Competitor

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City MISSOULA
Zip Code 59804

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Dataset Information

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.

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