JACOB MICHAEL TAVERNA (NPI# 1811979099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811979099 |
| Entity Type | Individual |
| Full Name | JACOB MICHAEL TAVERNA |
| Credential | MD |
| Practice Address |
435 S Crystal St Suite 300 Butte MT 59701-1506 |
| Practice Telephone | 4064963600 |
| Practice Fax Number | 4064963653 |
| Mailing Telephone | 4064963600 |
| Mailing Fax Number | 4064963653 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 7657 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 006 4818 | 05 |
| Street Address |
435 S CRYSTAL ST SUITE 300 |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112073 | Desiree Van Blaricom | Physical Therapist | 435 S Crystal St, Ste 400, Butte, MT 59701-1506 | 2005-05-23 |
| 1568008464 | Barrett Hospital Development Corporation | Clinic/Center | 435 S Crystal St, Butte, MT 59701-1506 | 2019-11-26 |
| 1447781380 | Melissa Lynne Blue | Nurse Practitioner | 435 S Crystal St, Butte, MT 59701 | 2017-03-22 |
| 1164819124 | Heather Nicole Salo | Physical Therapist | 435 S Crystal St, #400, Butte, MT 59701-1506 | 2015-04-16 |
| 1881083293 | Josette Ueland | Nurse Practitioner | 435 S Crystal St, Butte, MT 59701-1506 | 2015-01-22 |
| 1497143499 | Linda Picard | Physical Therapist | 435 S Crystal St, Suite 400, Butte, MT 59701-1506 | 2014-12-30 |
| 1023355849 | Scl Health Medical Group - Butte LLC | Clinical Medical Laboratory | 435 S Crystal St, Suite 210, Butte, MT 59701-1506 | 2013-01-14 |
| 1801148374 | St. James Healthcare Physician Billing, LLC | Clinical Medical Laboratory | 435 S Crystal St, Suite 210, Butte, MT 59701-1506 | 2012-10-09 |
| 1548534274 | Jennifer Louise Heglund | Physician Assistant | 435 S Crystal St, Suite 400, Butte, MT 59701-1506 | 2012-02-27 |
| 1811153711 | St. James Healthcare Primary Care Billing, LLC | Family Medicine | 435 S Crystal St, Butte, MT 59701-1506 | 2008-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053480772 | James Robert Drynan | Internal Medicine | 3015 St Ann Street, Butte, MT 59701-6347 | 2006-11-07 |
| 1336127463 | Joe K Gregory | Internal Medicine | 435 S. Crystal, Suite 300, Butte, MT 59701-1506 | 2006-01-09 |
| 1275941148 | Thomas Frohwein | Internal Medicine | 400 S Clark St, Butte, MT 59701-2328 | 2014-07-23 |
| 1427212729 | Michael Anthony Rhodes | Internal Medicine | 400 S Clark St, Butte, MT 59701-2328 | 2008-07-16 |
| 1346360203 | Bodine Medical LLC | Internal Medicine | 401 S Alabama St, Suite 3b, Butte, MT 59701-2315 | 2007-04-01 |
| 1518998426 | John Pullman | Internal Medicine | 300 W Mercury St, Butte, MT 59701-1652 | 2006-07-06 |
| 1275564189 | Paul R Siddoway | Internal Medicine | 300 W Mercury St, Butte, MT 59701-1652 | 2006-07-06 |
| 1861423071 | David P Chamberlain | Internal Medicine | 300 W Mercury St, Butte, MT 59701-1652 | 2006-07-05 |
| 1609804228 | Florian M Cortese | Internal Medicine | 300 W Mercury St, Butte, MT 59701-1652 | 2006-06-30 |
| 1780665844 | Bryan K Webb | Internal Medicine | 435 S Crystal St, Suite 200, Butte, MT 59701-1506 | 2005-11-07 |
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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.