SUSAN H. AVERY (NPI# 1437244845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437244845 |
Entity Type | Individual |
Full Name | SUSAN H. AVERY |
Credential | MD |
Practice Address |
401 15th Ave S Suite 110 Great Falls MT 59405 |
Practice Telephone | 4067270484 |
Practice Fax Number | 4064539504 |
Mailing Telephone | 4067270484 |
Mailing Fax Number | 4064539504 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
3884 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0047203 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114112562 | Susan Brown Avery | Social Worker | 6000 Western Pl, Suite 300, Fort Worth, TX 76107-4607 | 2007-09-10 |
1497766455 | Susan Avery | Social Worker | 3500 Virginia Beach Blvd, Suite 511, Virginia Beach, VA 23452-4445 | 2006-08-11 |
Street Address |
401 15TH AVE S SUITE 110 |
City | GREAT FALLS |
State | MT |
Zip Code | 59405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
Find all providers in zip 59405 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780791905 | Monica Elizabeth Berner | Family Medicine | 560 N Park Ave, Helena, MT 59601-2702 | 2006-08-24 |
1285603258 | Scott S Piranian | Family Medicine | 300 Garnet Way, Warm Springs, MT 59756 | 2006-03-14 |
1528422367 | Jack Hurst | Family Medicine | 100 Garnet Way, Warm Springs, MT 59756-9705 | 2016-04-07 |
1265659239 | Jeffrey Scot Adams | Family Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-04-19 |
1497802797 | Roger Pafford | Family Medicine | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 | 2007-01-05 |
1437141595 | Kathleen T Baskett | Family Medicine | 2900 12th Ave N, Suite 160w, Billings, MT 59101 | 2005-08-16 |
City | GREAT FALLS |
Zip Code | 59405 |
Please comment or provide details below to improve the information on SUSAN H. AVERY.
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.