DR. COLBY LOWEL WANG (NPI# 1801837067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801837067 |
| Entity Type | Individual |
| Full Name | DR. COLBY LOWEL WANG |
| Other Name | PREVENTATIVE PSYCHIATRY |
| Credential | M.D. |
| Practice Address |
715 Kensington Ave Ste 24b Missoula MT 59801-5700 |
| Mailing Address |
715 Kensington Ave Suite 24 B Missoula MT 59801-5700 |
| Practice Telephone | (406) 830-3294 |
| Mailing Telephone | (406) 830-3294 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34358 | MT | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 34358 | MT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 636 W Republic Rd, Ste B112, Springfield, MO 658075818 | 4178866067 | 4178864035 |
| Street Address |
715 KENSINGTON AVE STE 24B |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750932455 | Leslin Ossoff | Counselor | 715 Kensington Ave Ste 24b, Missoula, MT 59801-5700 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497012009 | Roland Sweatman | General Practice | 1410 Stanley St, Missoula, MT 59802-3312 | 2012-04-19 |
| 1952566192 | Walter Howard Peschel | General Practice | 500 W Broadway St, Missoula, MT 59802-4008 | 2008-07-28 |
| 1962562371 | Dana Headapohl | General Practice | 601 W Spruce St, Suite C, Missoula, MT 59802-4057 | 2006-12-08 |
| 1700822483 | Robert W Cruikshank | General Practice | 401 Railroad St W, Missoula, MT 59802 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687876 | Edward Michael Uriell | General Practice | 1607 Avenue E Apt 2, Billings, MT 59102-3064 | 2019-06-06 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| 1225479918 | Thu Tran | General Practice | 126 Indian Health Way, Harlem, MT 59526-9489 | 2013-07-10 |
| 1902079965 | Molly Elizabeth Biehl | General Practice | 210 E Crofoot Ln, Sheridan, MT 59749-7714 | 2008-04-10 |
| 1639399009 | Sage Medical Clinic PC | General Practice | 820 N. Montana Ave, Helena, MT 59601 | 2007-04-26 |
| 1225252935 | Richard J Best | General Practice | 101 Arrow St Dba Garden Wall Clinic, St. Ignatius, MT 59865 | 2007-04-12 |
| 1215005335 | Steven Bradley Sonntag | General Practice | 100 Cheyenne Ave., Lame Deer, MT 59043-0070 | 2006-11-30 |
| 1336221613 | Reed L Yeater | General Practice | 5 4th Ave East, Poison, MT 59860 | 2006-10-19 |
| 1285737635 | William Ferril | General Practice | 550 A Central Ave, Whitefish, MT 59937 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
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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.