JASON THOMAS ANDERSON (NPI# 1508201773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508201773 |
| Entity Type | Individual |
| Full Name | JASON THOMAS ANDERSON |
| Credential | MD |
| Practice Address |
1648 Ellis St Ste 201 Bozeman MT 59715-8811 |
| Practice Telephone | 4065878631 |
| Practice Fax Number | 4065871343 |
| Mailing Telephone | 4065878631 |
| Mailing Fax Number | 4065871343 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MED-PHYS-LIC-766 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938330 | Jason Anderson | Massage Therapist | 1621 W Lawrence Dr, Scottsburg, IN 47170-6808 | 2020-09-30 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1568823417 | Jason Anderson | Specialist/Technologist | 5232 Arbor Drive, Shrewsbury, MA 01545-6032 | 2016-03-18 |
| 1689914962 | Jason Drew Anderson | Social Worker | 2505 Court Dr # B, Gastonia, NC 28054-2140 | 2013-02-22 |
| 1891716445 | Jason A Anderson | Dentist | 302 Valley Green Sq, Le Sueur, MN 56058-1943 | 2006-07-21 |
| 1205453693 | Jason Anderson | Pharmacy Technician | 619 Nw 6th Ave Fl 7, Portland, OR 97209-3964 | 2020-07-01 |
| 1235696915 | Jason Lee Anderson | Nurse Practitioner | 10000 W Colonial Dr Ste 187, Ocoee, FL 34761-3438 | 2019-02-28 |
| 1881188498 | Jason Anderson | Counselor | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2018-06-18 |
| 1376071290 | Jason Anderson | Physical Therapy Assistant | 620 Sand Hill Rd, Palo Alto, CA 94304-2002 | 2017-05-23 |
| 1043604358 | Jason Anderson | Emergency Medicine | 800 E Dawson St, Tyler, TX 75701 | 2015-03-25 |
| Street Address |
1648 ELLIS ST STE 201 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-8811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169182 | Heidi L Tuthill | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2006-03-23 |
| 1285045849 | William Bradley Schenk | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2014-05-16 |
| 1851612782 | Albert Paul Meier | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2010-06-15 |
| 1801020672 | Paul Christopher Anderson | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2009-05-08 |
| 1710128756 | Alexander P Knapik | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2009-03-22 |
| 1205018595 | Reginald Taylor Handley | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2007-11-29 |
| 1336341726 | Scott Edward Yochim | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2007-06-05 |
| 1275612707 | Milica G Mcdowell | Physical Therapist | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2006-11-03 |
| 1902984776 | Douglas A. Hadley | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2006-11-01 |
| 1356390736 | Intercity Radiology, PC | Specialist | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2006-05-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619020757 | Dwight Bryan Short | Radiology | 159 Summer Ridge Rd, Bozeman, MT 59715-7718 | 2007-01-20 |
| 1740242882 | Dennis L. Rich | Radiology | 925 Highland Blvd., Suite 1180, Bozeman, MT 59715 | 2006-04-04 |
| 1285045849 | William Bradley Schenk | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2014-05-16 |
| 1851612782 | Albert Paul Meier | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2010-06-15 |
| 1801020672 | Paul Christopher Anderson | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2009-05-08 |
| 1710128756 | Alexander P Knapik | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2009-03-22 |
| 1205018595 | Reginald Taylor Handley | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2007-11-29 |
| 1336341726 | Scott Edward Yochim | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2007-06-05 |
| 1497965768 | Ryan Kirwan | Radiology | 925 Highland Blvd, Ste 1180, Bozeman, MT 59715-6905 | 2007-05-23 |
| 1215155890 | Lindy Kurz Paradise | Radiology | 925 Highland Blvd, Ste 1180, Bozeman, MT 59715-6905 | 2007-04-21 |
| Find all providers in BOZEMAN | ||||
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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.