MELISSA KLESCHEN (NPI# 1831415850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831415850 |
| Entity Type | Individual |
| Full Name | MELISSA KLESCHEN |
| Practice Address |
3075 N Reserve St Suite Q Missoula MT 59808-1389 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4063271850 |
| Mailing Telephone | 4063271850 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 43243 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3075 N RESERVE ST SUITE Q |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568472785 | Carla Elaine Davis | Family Medicine | 3075 N Reserve St, Suite Q, Missoula, MT 59808-1389 | 2006-08-09 |
| 1790931517 | Providence Health & Services Mt | Family Medicine | 3075 N Reserve St, Suite Q, Missoula, MT 59808-1390 | 2008-08-12 |
| 1528132651 | Jamie Harding | Nurse Practitioner | 3075 N Reserve St, Suite 2, Missoula, MT 59808-1389 | 2006-11-20 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423207 | Earle Robert Shields | Pediatrics | 6111 Miller Creek Rd, Missoula, MT 59803-9507 | 2012-06-27 |
| 1407055130 | Christopher Jons | Pediatrics | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2007-07-12 |
| 1942210166 | Thomas Randall | Pediatrics | 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 | 2006-08-09 |
| 1750317558 | Karen Betts Mielke | Pediatrics | 500 W. Broadway St, Missoula, MT 59806-4587 | 2006-06-23 |
| 1457393357 | Lauren K Willis | Pediatrics | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2006-06-12 |
| 1841247467 | Dirk R Gottman | Pediatrics | 2835 Fort Missoula Road, Missoula, MT 59804-7408 | 2006-05-28 |
| 1023542388 | University of Utah Pediatric Services | Pediatrics | 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 | 2017-04-13 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| 1043605843 | Jennifer Reck | Pediatrics | 2835 Fort Missoula Rd # 3, Missoula, MT 59804 | 2015-03-30 |
| 1568808525 | Jennifer Wilkinson | Pediatrics | 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 | 2013-05-17 |
| 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.