JUSTIN J KRUER (NPI# 1821055971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821055971 |
| Entity Type | Individual |
| Full Name | JUSTIN J KRUER |
| Credential | M.D. |
| Practice Address |
2360 Mullan Rd Ste C Missoula MT 59808 |
| Mailing Address |
2360 Mullan Rd Ste C Missoula MT 59808-1811 |
| Practice Telephone | 4067214436 |
| Practice Fax Number | 4067216053 |
| Mailing Telephone | 4067214436 |
| Mailing Fax Number | 4067216053 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
40993 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
35168 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
40993 | KY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
77401 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100037780 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Rodeo Drive, Erlanger, KY 41018 | 5133543700 | 5133543705 |
| Street Address |
2360 MULLAN RD STE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548255540 | Jeffrey Mariano Laporte | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2005-09-15 |
| 1245855030 | Cayden Napierala | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-06-08 |
| 1629617956 | Kathryn Diane Fisette | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-01-03 |
| 1245889484 | Mitchell Mayfield | Physician Assistant | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2019-09-10 |
| 1750876041 | Samantha Rose Gunderson Morton | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2018-06-28 |
| 1790207090 | Taylor Danielle Manning | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2017-07-09 |
| 1871048801 | Jessica Paske | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-08-19 |
| 1013365386 | Matthew Schumacher | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-05-27 |
| 1710361175 | Lindsey Marie Ross | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2015-07-16 |
| 1144669912 | James Joseph Gholson | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808 | 2013-06-14 |
| Find all providers in the same location | ||||
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982921854 | Matthew D. Mclaren, Md, Pllc | Pain Medicine | 1744 Alder Dr, Great Falls, MT 59404-3533 | 2010-04-30 |
| 1780939801 | Saugat Dey | Pain Medicine | 500 15th Ave S, Great Falls, MT 59405-4324 | 2012-07-15 |
| 1578791935 | Samuel Mark Spanbauer | Pain Medicine | 500 15th Ave S Ste 1, Great Falls, MT 59405-4324 | 2009-06-24 |
| 1851508352 | Ronald K. Hull, M.d., P.l.l.c. | Pain Medicine | 1 Medical Park Dr, Helena, MT 59601-8022 | 2007-05-16 |
| 1841388725 | Ned Camden Kneeland | Pain Medicine | 245 Windward Way, Kalispell, MT 59901-3133 | 2006-10-10 |
| 1881610616 | Brian M. Bradley | Pain Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711 | 2006-07-14 |
| 1285670521 | Kraig Allan Ward | Pain Medicine | 500 15th Ave S, Suite 1, Great Falls, MT 59405-4324 | 2006-06-22 |
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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.