ANTHONY W. ROCCISANO (NPI# 1730371030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730371030 |
| Entity Type | Individual |
| Full Name | ANTHONY W. ROCCISANO |
| Credential | DO |
| Practice Address |
2900 12th Ave N Ste 140w Billings MT 59101-7507 |
| Practice Telephone | 4062375050 |
| Mailing Telephone | 4062375050 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2011-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
52351 | MN | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
104526 | MN | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
34.008881 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| OH | OH MEDICAL LICENSE | 34.008881 | 01 |
| Street Address |
2900 12TH AVE N STE 140W |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782043 | Gwenna Peters | Physical Therapist | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2005-07-01 |
| 1134727977 | Kathryn Schwartz | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2020-10-14 |
| 1609473412 | Zachary Molyneaux | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2020-10-05 |
| 1508496217 | Kolten Wenckus | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2020-01-22 |
| 1740826668 | Jill Kerns | Nurse Practitioner | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2019-11-26 |
| 1356985014 | Tyler C Miller | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2019-11-05 |
| 1144880923 | Regan Bold | Physical Therapist | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2019-06-14 |
| 1487139770 | Nicholas G Smith | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2018-10-02 |
| 1760992929 | Christopher Hines | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2017-10-02 |
| 1649799297 | Libby N Close | Physician Assistant | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688700 | Smt Care of Mt, LLC | Orthopaedic Surgery | 1925 Grand Ave Ste 127, Billings, MT 59102-2776 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679684328 | Ned Andrew Wilson | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-08-31 |
| 1619904711 | Michael E Luckett | Orthopaedic Surgery | 1401 25th St S, Great Falls, MT 59405-5183 | 2006-06-26 |
| 1376544437 | Steven R Speth | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-08-10 |
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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.