MARC BENJAMIN GONZALEZ (NPI# 1518435940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518435940 |
| Entity Type | Individual |
| Full Name | MARC BENJAMIN GONZALEZ |
| Practice Address |
397 Brianna Ct Missoula MT 59804-1041 |
| Practice Telephone | 4065460883 |
| Mailing Telephone | 4065460883 |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-LMT-LIC-1169 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290512 | Marc Rene Gonzalez | Dentist | 1706 N Main St, High Point, NC 27262-2646 | 2020-06-16 |
| Street Address |
397 BRIANNA CT |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1114549540 | Rozanne Smith | Massage Therapist | 700 South Ave W Ste C, Missoula, MT 59801-8011 | 2020-05-07 |
| 1215584719 | Shelby Riley | Massage Therapist | 2801 S Russell St Ste 39, Missoula, MT 59801-7922 | 2019-08-20 |
| 1588229686 | Kayla Hull | Massage Therapist | 1940 Harve Ave Ste B, Missoula, MT 59801-8332 | 2019-05-03 |
| 1063984078 | Sarah Jane Hanlon | Massage Therapist | 801 Sherwood St Ste 1, Missoula, MT 59802-2659 | 2019-01-02 |
| 1184195182 | Deep Tissue Massage Group, Inc. | Massage Therapist | 725 W Alder St Ste 20, Missoula, MT 59802-4099 | 2018-12-17 |
| 1780169847 | Cindy Ardis Clippinger | Massage Therapist | 4708 Sage St, Missoula, MT 59808-1475 | 2018-09-25 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1932617099 | Jennifer Diane Cundy | Massage Therapist | 615 Oak St Ste 101, Missoula, MT 59801-2469 | 2018-01-11 |
| Find all providers in MISSOULA | ||||
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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.