DR. TYLER ARNT OFSTAD (NPI# 1407199607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407199607 |
| Entity Type | Individual |
| Full Name | DR. TYLER ARNT OFSTAD |
| Credential | M.D., PHD |
| Practice Address |
175 Timberwolf Pkwy Kalispell MT 59901-1218 |
| Practice Telephone | 4062572020 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MED-PHYS-LIC-750 | MT | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
148143 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W 8th Ave, Spokane, WA 992042307 | 5094743020 | |
| 3350 La Jolla Village Dr, San Diego, CA 921612307 | 8585528585 | |
| 9415 Campus Point Dr, La Jolla, CA 920932307 | 8585346290 |
| Street Address |
175 TIMBERWOLF PKWY |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751364 | Jonathan Franklin Olsen | Optometrist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2006-06-22 |
| 1184016222 | Amanda Brandt | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2015-02-26 |
| 1528450764 | Chris Ahner | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2015-02-25 |
| 1457619413 | Jeanne M. Bartscher | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2012-04-27 |
| 1154623130 | Mark Thompson | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2010-11-24 |
| 1194981431 | Virginia Stonehocker IIi | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2008-08-06 |
| 1437315835 | Toby Allan | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2008-08-05 |
| 1568525491 | Glacier Opticians Inc | Technician/Technologist | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2006-12-19 |
| 1730195801 | Roger A Barth | Ophthalmology | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2006-07-31 |
| 1174539266 | Mark C Remington | Ophthalmology | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2006-07-31 |
| Find all providers in the same location | ||||
| 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 | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
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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.