BOZEMAN RADIATION ONCOLOGY PC (NPI# 1407983299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407983299 |
Entity Type | Organization |
Organization Name | BOZEMAN RADIATION ONCOLOGY PC |
Practice Address |
931 Highland Blvd Suite 3130 Bozeman MT 59715-6911 |
Mailing Address |
Po Box 697 Bozeman MT 59771-0697 |
Practice Telephone | 4065792237 |
Practice Fax Number | 4065565426 |
Mailing Telephone | 4065792237 |
Mailing Fax Number | 4065565426 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DAVID KOEPLIN (PRESIDENT) |
Authorized Official Telephone | 4065792237 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
11212 | MT | Allopathic & Osteopathic Physicians |
Street Address |
931 HIGHLAND BLVD SUITE 3130 |
City | BOZEMAN |
State | MT |
Zip Code | 59715-6911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657456 | Benjamin L Blend | Pathology | 931 Highland Blvd, Suite 3220, Bozeman, MT 59715-6911 | 2005-08-25 |
1134518251 | Susan Niles | Nurse Practitioner | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2015-01-13 |
1679913800 | Casey Clarice Ebert | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715-6911 | 2013-07-02 |
1124468533 | April Dearing | Physical Therapist | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2013-06-29 |
1083999601 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 931 Highland Blvd, Suite 3105, Bozeman, MT 59715-6911 | 2011-10-14 |
1154556702 | Kristina Marie Hool | Internal Medicine | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2009-05-27 |
1992974497 | Bridger Child & Adolescent Psychiatry | Health Maintenance Organization | 931 Highland Blvd, Ste. 3340, Bozeman, MT 59715-6911 | 2008-02-28 |
1003090481 | Melissa Rae Reily | Internal Medicine | 931 Highland Blvd, Suite 3260, Bozeman, MT 59715-6911 | 2007-12-20 |
1134334204 | Barbara Jeanne Eckstein | Nurse Practitioner | 931 Highland Blvd, Suite 3340, Bozeman, MT 59715-6911 | 2007-05-11 |
1891817011 | Bozeman Foot and Ankle Clinic P.C. | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2007-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023061488 | Richard Nmn Belgrad | Radiology | 9200 Trooper Trl, Bozeman, MT 59715-8061 | 2006-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952519761 | Eugene Frank Hughes II | Radiology | 5 Green Ln, Butte, MT 59701-3983 | 2007-05-18 |
1134108525 | Elizabeth M Tapen | Radiology | 2091 Little Coyote Rd Ste 161029, Big Sky, MT 59716-7979 | 2006-01-13 |
1770561433 | Jeffrey S. Eshleman | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2006-01-04 |
1770560948 | Berna Roig Demalignon | Radiology | 1117 29th St South, Benefis Sletten Cancer Institute, Gerat Falls, MT 59405 | 2005-12-28 |
1417949033 | Frank R Lamm | Radiology | 1315 Golden Valley Cir, Billings, MT 59102 | 2005-08-19 |
1891164125 | Rchp Billings - Missoula LLC | Radiology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2015-09-16 |
1750727152 | Justin M. Linam | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2013-05-13 |
1801152160 | Ian Salzman Gallaher | Radiology | 400 S Clark St, Butte, MT 59701 | 2012-04-11 |
1205162922 | Marc Bryan Nash | Radiology | 400 S Clark St, Butte, MT 59701-2328 | 2009-10-30 |
1609010578 | Breanne Elizabeth Terakedis | Radiology | 801 N 29th St, Billings, MT 59101-0905 | 2009-04-23 |
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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.