MR. DAVID EZRA NOLAN (NPI# 1669464392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464392 |
| Entity Type | Individual |
| Full Name | MR. DAVID EZRA NOLAN |
| Credential | PA-C |
| Practice Address |
312 Fair Grounds Road Hamilton MT 59840 |
| Practice Telephone | 4063617680 |
| Practice Fax Number | 4063634060 |
| Mailing Telephone | 4063617680 |
| Mailing Fax Number | 4063634060 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0292 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0292 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0292 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 4310345 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621848 | David Ryan Nolan | Pharmacist | 37 Mahoning St, Milton, PA 17847-1015 | 2020-02-18 |
| 1437338803 | David Myles Nolan | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-11-01 |
| 1255430336 | David Clark Nolan | Physical Therapist | 1125 Tremont St, Roxbury Crossing, MA 02120-2178 | 2006-09-22 |
| Street Address |
312 FAIR GROUNDS ROAD |
| City | HAMILTON |
| State | MT |
| Zip Code | 59840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217114 | Ravalli Orthopedics & Sports Medicine PC | Orthopaedic Surgery | 312 Fair Grounds Road, Hamilton, MT 59840 | 2006-08-28 |
| 1427077734 | Gregory Michael Behm | Orthopaedic Surgery | 312 Fair Grounds Road, Hamilton, MT 59840 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
| 1851806590 | Emma's House Childrens Advocacy Center | Social Worker | 800 N. 2nd Street, Hamilton, MT 59840 | 2017-12-04 |
| 1316463136 | Wilderness Medics, Inc. | Emergency Medicine | 2069 Norman Way, Hamilton, MT 59840 | 2017-08-15 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1659737948 | Susan Berland | Physical Therapist | 484 Old Corvallis Rd, Suite B, Hamilton, MT 59840 | 2016-01-03 |
| 1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
| 1942623178 | Irene Walters Family Psychiatry PC | Registered Nurse | 99 Marcus Street, Suite C4, Hamilton, MT 59840 | 2014-01-23 |
| 1063758126 | Bitterroot Quality Care, Inc. | Assisted Living Facility | 842 New York Ave., Hamilton, MT 59840 | 2012-12-18 |
| 1639431224 | Carleen Dawn Grussling | Social Worker | 120 Copper King Ct Ste A, Hamilton, MT 59840 | 2012-06-11 |
| Find all providers in zip 59840 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1831723709 | Nicole Patricia Stout | Physician Assistant | 168 Acres Dr, Hamilton, NJ 08690-3917 | 2020-02-28 |
| 1760016638 | Kristen Teixeira | Physician Assistant | 4 Longleaf Dr, Hamilton, NJ 08690-1358 | 2020-02-28 |
| 1053943282 | Liudmila Evdokimova | Physician Assistant | 3836 Quakerbridge Rd Ste 206, Hamilton, NJ 08619-1006 | 2020-02-05 |
| 1073023891 | Grant Ward | Physician Assistant | 400 N Brown St Bldg 2, Hamilton, TX 76531-1518 | 2017-10-06 |
| 1568900496 | Megan Beatrice Poynter | Physician Assistant | 5908 Green Crest Dr, Hamilton, OH 45011-2224 | 2017-02-11 |
| 1831647544 | Nicole Lynn Dobron | Physician Assistant | 25 Stevenson Ave, Hamilton, NJ 08619-1236 | 2016-09-12 |
| 1518385897 | Sarah Gaudiosi | Physician Assistant | 1374 Whitehorse Hamilton Square Rd Fl 2, Hamilton, NJ 08690 | 2014-04-03 |
| 1043369218 | Andria M Salzano | Physician Assistant | 25 Office Park Drive, Hamilton, OH 45013 | 2007-01-09 |
| 1306823802 | Phillip T Smith | Physician Assistant | 1 N Brookwood Ave, Hamilton, OH 45013 | 2005-12-27 |
| Find all providers in HAMILTON | ||||
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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.