BOZEMAN HEALTH DEACONESS HOSPITAL (NPI# 1710541131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710541131 |
| Entity Type | Organization |
| Organization Name | BOZEMAN HEALTH DEACONESS HOSPITAL |
| Practice Address |
937 Highland Blvd Ste 5410 Bozeman MT 59715-6916 |
| Mailing Address |
915 Highland Blvd Ste 2170 Bozeman MT 59715-6902 |
| Practice Telephone | 4064142400 |
| Mailing Telephone | 4064145552 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | BRAD K LUDFORD (CFO) |
| Authorized Official Telephone | 4064141036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bozeman Health Internal Medicine Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955264 | Bozeman Health Deaconess Hospital | Pediatrics | 937 Highland Blvd Ste 5320, Bozeman, MT 59715-6916 | 2019-05-01 |
| 1427612845 | Bozeman Health Deaconess Hospital | Physician Assistant | 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | 2019-05-01 |
| 1518521061 | Bozeman Health Deaconess Hospital | Physician Assistant | 206 Alaska Frontage Rd, Belgrade, MT 59714-7909 | 2019-04-30 |
| 1437529112 | Bozeman Health Deaconess Hospital | Emergency Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1336519024 | Bozeman Health Deaconess Hospital | Durable Medical Equipment & Medical Supplies | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1619347390 | Bozeman Health Deaconess Hospital | Allergy & Immunology | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1104295864 | Bozeman Health Deaconess Hospital | General Acute Care Hospital | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-09-23 |
| 1740387661 | Bozeman Health Deaconess Hospital | Pharmacy | 925 Highland Blvd, Suite 2000, Bozeman, MT 59715-6900 | 2006-09-20 |
| Street Address |
937 HIGHLAND BLVD STE 5410 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276888 | Anne Marie Thomas | Psychiatry & Neurology | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2006-06-25 |
| 1568082808 | Lauren M Hastings | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2020-04-16 |
| 1184192312 | Kristen Lynn Hunter | Pharmacist | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2018-11-06 |
| 1982118808 | Sonja Ruth Clausen | Pharmacist | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2017-11-30 |
| 1952757247 | Crystal Laree Henderson | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2016-05-05 |
| 1346636099 | Tia Utzinger | Social Worker | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2015-04-09 |
| 1346667805 | Shalina F Lingley | Internal Medicine | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2014-03-23 |
| 1770618340 | Jennifer K Sofie | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
| 1528193265 | Theodore R Preiss | Physician Assistant | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528302346 | John Spencer Hunt | Internal Medicine | 93 Rusty Duck Ln, Bozeman, MT 59718-9286 | 2012-11-16 |
| 1801158506 | Stephen J Guggenheim | Internal Medicine | 2305 Fairway Dr, Bozeman, MT 59715-5866 | 2012-06-09 |
| 1831345008 | Michael Spinelli | Internal Medicine | 935 Highland Blvd Ste 3210, Hathaway Internal Medicine, Bozeman, MT 59715-6904 | 2008-08-07 |
| 1497950026 | Angela Stevenson Watkins | Internal Medicine | 300 N. Willson Ave #703g, Bozeman, MT 59715-3551 | 2007-06-14 |
| 1427068295 | Robert A Hathaway | Internal Medicine | 931 Highland Blvd Ste 3330, Bozeman, MT 59715-6912 | 2006-08-08 |
| 1073521654 | Michael Vlases | Internal Medicine | 931 Highland Blvd Ste 3220, Bozeman, MT 59715-6912 | 2006-08-03 |
| 1023030079 | Pamela Hiebert | Internal Medicine | 935 Highland Blvd Ste 3220, Bozeman, MT 59715-6904 | 2006-07-25 |
| 1922072560 | Andrew B Gentry | Internal Medicine | 931 Highland Blvd Ste 3350, Bozeman, MT 59715-6914 | 2006-02-13 |
| 1730161027 | Patrick Bunkley Gaylor | Internal Medicine | 931 Highland Blvd Ste 3130, Bozeman, MT 59715 | 2005-11-14 |
| 1417952615 | Dana Myers Sauerwein | Internal Medicine | 1006 W Main St, Bozeman, MT 59715-3219 | 2005-06-15 |
| 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.