DR. ALLIE MAFFIT (NPI# 1639434376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639434376 |
| Entity Type | Individual |
| Full Name | DR. ALLIE MAFFIT |
| Credential | M.D. |
| Practice Address |
350 Heritage Way Ste 1100 Kalispell MT 59901 |
| Mailing Address |
350 Heritage Way Ste 1100 Kalispell MT 59901-3160 |
| Practice Telephone | 4067528668 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 67624 | MT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 5315055621 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
67624 | MT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Michigan St Ne, Mc #13, Grand Rapids, MI 495032560 | 6162670073 |
| Street Address |
350 HERITAGE WAY STE 1100 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457336471 | Dawn Marie Murray | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2005-12-13 |
| 1114481694 | Quincy Bennetts | Physical Therapist | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2019-01-29 |
| 1700366838 | Melissa Marie Cotner | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2018-08-17 |
| 1154650752 | Brandi Leighann Skiles | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2009-12-10 |
| 1063544468 | Lynn R. Troy | Naturopath | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2007-03-12 |
| 1275670549 | Courtney Lyle | Pediatrics | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043469513 | Benefis Medical Group | Pediatrics | 1117 29th Street South, Great Falls, MT 59405-5306 | 2008-09-09 |
| 1013164987 | Benefis Healthcare Practitioners, PC | Pediatrics | 40 13th St W, Havre, MT 59501-5215 | 2008-08-22 |
| 1952500415 | Jack Staddon | Pediatrics | 2800 10th Ave N, Billings, MT 59101 | 2007-07-15 |
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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.