DR. PETER M KELLEHER


Address: 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718
Phone: 4065868029

DR. PETER M KELLEHER (NPI# 1518185982) 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) 1518185982
Entity Type Individual
Full Name DR. PETER M KELLEHER
Credential MD
Practice Address 536 Cottonwood Rd
Suite 100
Bozeman
MT 59718
Practice Telephone 4065868029
Practice Fax Number 4065868009
Mailing Telephone 4065868029
Mailing Fax Number 4065868009
Enumeration Date 2007-04-23
Last Update Date 2011-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery MD431276 PA Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
11795 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT BCBS OF MONTANA 0000093258 01

Other Providers PETER KELLEHER

NPI Name Taxonomy Address Enumeration
1205876331 Peter Sean Kelleher Physical Therapist 4700 Northgate Blvd Ste 120, Sacramento, CA 95834-1148 2006-06-07
1376713388 Peter Kelleher Social Worker 45 High St, Nashua, NH 03060-3312 2008-03-05

Office Location

Street Address 536 COTTONWOOD RD
SUITE 100
City BOZEMAN
State MT
Zip Code 59718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437159944 Mark C Deibert Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2005-07-26
1033558887 Alpine Orthopedics Physician Assistant 536 Cottonwood Rd, Bozeman, MT 59718 2013-06-14
1215205182 Jessica Ann Pelton Physician Assistant 536 Cottonwood Rd, #100, Bozeman, MT 59718 2011-12-07
1083626832 Alpine Orthopedics & Sports Medicine Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2006-08-12
1598717662 Jeffrey S Rasch Family Medicine 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2006-05-17
1922008374 Timothy O'brien Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2005-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932727518 Alex Mattucci Pharmacist 200 South 23rd St, Bozeman, MT 59718 2020-07-09
1285251132 West Bozeman Surgery Center, LLC Clinic/Center 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 2020-06-26
1528680733 Amanda Harris Student in an Organized Health Care Education/Training Program 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 2020-05-11
1568946291 Build Physio & Performance, Pllc Physical Therapist 609 Pronghorn Trail, Bozeman, MT 59718 2018-09-19
1184107872 Hunter Family Chiropractic Pllc Chiropractor 37 Spanish Peak Drive, Bozeman, MT 59718 2018-09-10
1588179873 Melissa N Blixt Nurse Practitioner 1805 W. Oak, Bozeman, MT 59718 2017-12-07
1861949455 Kristina Joy Parmelee Massage Therapist 1001 West Oak Street #210, Bozeman, MT 59718 2016-09-01
1265883037 Molly Kathleen Smith Specialist 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 2016-06-23
1063891414 Dutton & Willhite, Inc. Chiropractor 2622 W. Main Ste. B, Bozeman, MT 59718 2015-05-19
1548664253 Stacy Montaigne Aucoin Social Worker 102 S. 19th, Suite #5, Bozeman, MT 59718 2014-10-09
Find all providers in zip 59718

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437159944 Mark C Deibert Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2005-07-26
1083626832 Alpine Orthopedics & Sports Medicine Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2006-08-12
1922008374 Timothy O'brien Orthopaedic Surgery 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 2005-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083264816 Montana State University - Billings Orthopaedic Surgery 1500 University Dr, Billings, MT 59101-0245 2019-09-13
1073095667 Rocky Mountain College Orthopaedic Surgery 1511 Poly Dr, Billings, MT 59102-1739 2018-08-30
1033154760 David W Shenton Jr. Orthopaedic Surgery 2900 12th Ave N, #100e, Billings, MT 59101-7506 2006-06-17
1497734909 Colin G Sherrill Orthopaedic Surgery 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 2006-01-12
1831199090 Michael J. Schutte Orthopaedic Surgery 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 2005-07-28

Competitor

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City BOZEMAN
Zip Code 59718

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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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