DR. NENA PANASUK (NPI# 1770965972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770965972 |
| Entity Type | Individual |
| Full Name | DR. NENA PANASUK |
| Credential | DO |
| Practice Address |
107 Dilworth St Glendive MT 59330 |
| Mailing Address |
107 Dilworth St Glendive MT 59330-2053 |
| Practice Telephone | 4063458901 |
| Mailing Telephone | 4063458901 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 68248 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
107 DILWORTH ST |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374130 | Ericca S Berry | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2005-05-27 |
| 1821654518 | Calvin Wiese | Counselor | 107 Dilworth St, Glendive, MT 59330-2053 | 2019-05-17 |
| 1598009441 | Kayli Carmen Christophel | Physician Assistant | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-11-15 |
| 1386990869 | Christopher Henderson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-08-02 |
| 1205107448 | Carolyn Jo Johnson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-01-19 |
| 1841510104 | Elizabeth Rouene Brown | Obstetrics & Gynecology | 107 Dilworth St, Glendive, MT 59330-2053 | 2010-06-09 |
| 1649433293 | Chrystal Lynn Potter | Internal Medicine | 107 Dilworth St, Glendive, MT 59330-2053 | 2008-07-03 |
| 1538293311 | Gabert Medical Services,inc | Durable Medical Equipment & Medical Supplies | 107 Dilworth St, Glendive, MT 59330-2053 | 2007-03-15 |
| 1457424244 | Charlene Pontoriero | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-17 |
| 1699845461 | Gabert Medical Services, Inc | Pharmacy | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
| 1154651016 | Debra Linn | Speech-Language Pathologist | 14 Big Sky Drive, Glendive, MT 59330 | 2009-12-28 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1275593410 | Ft Reynolds | Pharmacy | 1014 W Bell St, Glendive, MT 59330-1502 | 2006-03-23 |
| 1346296266 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 307 Harmon St, Glendive, MT 59330-1510 | 2006-05-25 |
| 1275870909 | Steve Knoop | Pharmacist | 307 Harmon St, Glendive, MT 59330-1510 | 2013-01-15 |
| 1972030708 | Calkins Dental Office, LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2017-05-11 |
| 1598177115 | Matthew Don Calkins | Dentist | 116 N Meade Ave, Glendive, MT 59330-1604 | 2014-06-02 |
| 1770831539 | Coburn Dental Office LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2012-08-27 |
| Find all providers in zip 59330 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013119171 | Plains Synergy Healthcare Pllc | Family Medicine | 100 S Merrill Ave, Suite #24, Glendive, MT 59330-1635 | 2007-06-01 |
| 1003817206 | Joan Dickson | Family Medicine | 100.5 S. Merrill Ave., Suite #24, Glendive, MT 59330-2053 | 2005-08-10 |
| 1366496697 | James P Jex | Family Medicine | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883539 | Scl Health Medical Group - Billings LLC | Family Medicine | 55 N Montana Ave, Absarokee, MT 59001-6339 | 2020-08-28 |
| 1174165682 | St. Peter's Health | Family Medicine | 515 South Front St, Townsend, MT 59644 | 2019-10-16 |
| 1922653484 | Logen Ross Nunberg | Family Medicine | 105 E Oak St Ste 1e, Bozeman, MT 59715-2978 | 2019-08-01 |
| 1588124846 | Pureview Health Center | Family Medicine | 250 Academic Street, East Helena, MT 59635 | 2019-03-22 |
| 1174081723 | Sari Rey Kerslake | Family Medicine | 1163 Middle Burnt Fork Rd, Stevensville, MT 59870-6644 | 2019-03-03 |
| 1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
| 1306368345 | All Families Healthcare, Pllc | Family Medicine | 737 Spokane Ave, Whitefish, MT 59937-2968 | 2017-07-12 |
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1437680758 | Isaac Billings | Family Medicine | 107 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2017-03-27 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
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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.