RADIATION ONCOLOGY PROFESSIONAL SERVICES, P.C. (NPI# 1740353788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740353788 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY PROFESSIONAL SERVICES, P.C. |
| Practice Address |
2825 Stockyard Rd Ste I-200 Missoula MT 59808-1548 |
| Mailing Address |
Po Box 17528 Missoula MT 59808-7528 |
| Practice Telephone | 4067288420 |
| Practice Fax Number | 4065418430 |
| Mailing Telephone | 4067288420 |
| Mailing Fax Number | 4065418430 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BARB GILLETT BRETZ (OFFICE MANAGER) |
| Authorized Official Telephone | 4067288420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
2825 STOCKYARD RD STE I-200 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245324235 | Darren Francis Gray | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2006-10-03 |
| 1700236403 | Marcus Alexander Arthur | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2016-06-14 |
| 1679983456 | Alexander Horne | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-05-02 |
| 1972913796 | Nikolas Erik Sirs | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808 | 2014-05-01 |
| 1760801096 | Adam Nelson Hofer | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-04-15 |
| 1629497433 | Shannon James Summers | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-04-09 |
| 1457779522 | Bryn Van Hoomissen | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-04-04 |
| 1679990956 | Andrew Slupe | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2014-03-25 |
| 1376980862 | Trey Banbury | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808-1548 | 2013-05-24 |
| 1437592987 | Gregory Allen Smith | Anesthesiology | 2825 Stockyard Rd Ste I-200, Missoula, MT 59808 | 2013-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164125 | Rchp Billings - Missoula LLC | Radiology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2015-09-16 |
| 1003088634 | Michelle Ann Proper | Radiology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2008-03-24 |
| 1407806987 | Katherine Lee Markette | Radiology | 500 W Broadway St, Radiation Oncology/st Patrick Hospital, Missoula, MT 59802-4003 | 2006-05-12 |
| 1447208079 | Margaret Murga Menendez | Radiology | 500 W Broadway St, Missoula, MT 59802-4003 | 2006-05-05 |
| 1053312900 | Jeffrey A Stephenson | Radiology | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952519761 | Eugene Frank Hughes II | Radiology | 5 Green Ln, Butte, MT 59701-3983 | 2007-05-18 |
| 1023061488 | Richard Nmn Belgrad | Radiology | 9200 Trooper Trl, Bozeman, MT 59715-8061 | 2006-05-18 |
| 1134108525 | Elizabeth M Tapen | Radiology | 2091 Little Coyote Rd Ste 161029, Big Sky, MT 59716-7979 | 2006-01-13 |
| 1770561433 | Jeffrey S. Eshleman | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2006-01-04 |
| 1770560948 | Berna Roig Demalignon | Radiology | 1117 29th St South, Benefis Sletten Cancer Institute, Gerat Falls, MT 59405 | 2005-12-28 |
| 1417949033 | Frank R Lamm | Radiology | 1315 Golden Valley Cir, Billings, MT 59102 | 2005-08-19 |
| 1750727152 | Justin M. Linam | Radiology | 343 Sunnyview Ln, Kalispell, MT 59901-3156 | 2013-05-13 |
| 1801152160 | Ian Salzman Gallaher | Radiology | 400 S Clark St, Butte, MT 59701 | 2012-04-11 |
| 1205162922 | Marc Bryan Nash | Radiology | 400 S Clark St, Butte, MT 59701-2328 | 2009-10-30 |
| 1609010578 | Breanne Elizabeth Terakedis | Radiology | 801 N 29th St, Billings, MT 59101-0905 | 2009-04-23 |
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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.