ORIGIN HEALTH LLC (NPI# 1841835113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841835113 |
| Entity Type | Organization |
| Organization Name | ORIGIN HEALTH LLC |
| Practice Address |
2831 Fort Missoula Rd Ste 232 Missoula MT 59804-7479 |
| Practice Telephone | 4065235650 |
| Practice Fax Number | 4063034041 |
| Mailing Telephone | 4065235650 |
| Mailing Fax Number | 4063034041 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | MR. STEPHEN G LOOSLI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2085579898 |
| Authorized Official Credential | MSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 29th St S Ste 101, Great Falls, MT 594055316 | 4062051999 | 4066040300 |
| 225 S Clark St, Butte, MT 597011515 | 4062211195 | 4067921750 |
| 2600 Winne Ave Ste E, Helena, MT 596014900 | 4065582300 | 4064300130 |
| 770 W Reserve Dr Ste 3, Kalispell, MT 599012158 | 4067513003 | 4066076160 |
| Street Address |
2831 FORT MISSOULA RD STE 232 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453618 | Boeson Research LLC | Clinic/Center | 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804-7479 | 2018-10-17 |
| 1538710553 | Stephen Guy Loosli | Specialist | 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804-7479 | 2019-09-20 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023039 | Gregory O Utter | Obstetrics & Gynecology | Community Medical Center Physician Building 3, 2835 Fort Missoula Rd. Suite 304, Missoula, MT 59804 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306055645 | Fetal Diagnostic Center PC | Obstetrics & Gynecology | 2900 12th Ave N Ste 130w, Billings, MT 59101-7595 | 2007-05-22 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1053798710 | Kalispell Regional Medical Center Inc | Obstetrics & Gynecology | 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135 | 2015-05-01 |
| 1730357039 | Sina Haeri | Obstetrics & Gynecology | 905 Highland Blvd Ste 4500, Bozeman, MT 59715-6903 | 2008-02-20 |
| 1720256936 | Kalispell Regional Medical Center Inc | Obstetrics & Gynecology | 310 Sunnyview Ln, Ob Dept, Kalispell, MT 59901-3129 | 2008-02-11 |
| 1093826828 | Dana P. Damron | Obstetrics & Gynecology | 801 N 29th St, Billings, MT 59101-0905 | 2006-08-31 |
| 1609818657 | James A Meserow | Obstetrics & Gynecology | 1401 25th St S, Great Falls, MT 59405 | 2006-06-12 |
| 1609838481 | Roger Lewis Wallace | Obstetrics & Gynecology | 2900 12th Ave N, Suite 130w, Billings, MT 59101-7506 | 2006-04-05 |
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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.