ELIZABETH L. SUH, M.D. PLLC (NPI# 1780852053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780852053 |
| Entity Type | Organization |
| Organization Name | ELIZABETH L. SUH, M.D. PLLC |
| Practice Address |
2835 Fort Missoula Rd Ste 305 Missoula MT 59804-7424 |
| Practice Telephone | 4067219999 |
| Practice Fax Number | 4067219756 |
| Mailing Telephone | 4067219999 |
| Mailing Fax Number | 4067219756 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. ELIZABETH L SUH (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4067219999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 10065 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0153578 | 05 | |
| MT | MEDICARE RAILROAD | P00304453 | 01 |
| MT | NPI # | 1548323835 | 01 |
| Street Address |
2835 FORT MISSOULA RD STE 305 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407172612 | Scott C Wyman | Obstetrics & Gynecology | 2835 Fort Missoula Rd Ste 305, Missoula, MT 59804-7424 | 2010-04-13 |
| 1609044965 | Timothy F. Burke, M.d. P. C. | Obstetrics & Gynecology | 2835 Fort Missoula Rd Ste 305, Missoula, MT 59804-7424 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417111576 | Stacie Leigh Campo | Surgery | 500 W Broadway St Fl 5, Missoula Surgical Associates, Missoula, MT 59802-4008 | 2008-07-17 |
| 1013035666 | Dr J General Surgery Pllc | Surgery | 2835 Fort Missoula Rd Ste 306, Missoula, MT 59804-7424 | 2007-03-26 |
| 1104943489 | Vern H Horton Md PC | Surgery | 2827 Ft Missoula Rd, Missoula, MT 59804 | 2007-03-23 |
| 1760426647 | David H Bellamah | Surgery | 2975 Stockyard Rd, Missoula, MT 59808-1557 | 2006-06-15 |
| 1073597639 | Vern Hicks Horton | Surgery | 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804-7408 | 2005-12-06 |
| 1386199933 | Healogics Specialty Physicians of Montana, Pllc | Surgery | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2016-08-23 |
| 1750737227 | Dr Z General Surgery Pllc | Surgery | 2835 Fort Missoula Rd Ste 306, Missoula, MT 59804-7424 | 2016-05-13 |
| 1427469725 | Bellamah Vein & Surgery, Pllc | Surgery | 2975 Stockyard Rd, Suite 200 & 201, Missoula, MT 59808-1557 | 2014-05-08 |
| 1093081150 | Jason Richard Hurd | Surgery | 500 W Broadway St, Missoula, MT 59802 | 2012-03-22 |
| 1669683884 | Michael Joseph Zehnpfennig | Surgery | 2835 Fort Missoula Rd, Ste 306, Missoula, MT 59804-7424 | 2007-05-28 |
| Find all providers in MISSOULA | ||||
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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.