BOZEMAN FOOT AND ANKLE CLINIC P.C. (NPI# 1891817011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891817011 |
Entity Type | Organization |
Organization Name | BOZEMAN FOOT AND ANKLE CLINIC P.C. |
Practice Address |
931 Highland Blvd Suite 3310 Bozeman MT 59715 |
Practice Telephone | 4065878478 |
Practice Fax Number | 4065820730 |
Mailing Telephone | 4065878478 |
Mailing Fax Number | 4065820730 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2008-03-14 |
Authorized Official Name | MR. WILLIAM MANN WILSHIRE IV (PODIATRIST) |
Authorized Official Telephone | 4065878478 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
129 | MT | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
103 | MT | Podiatric Medicine & Surgery Service Providers |
Street Address |
931 HIGHLAND BLVD SUITE 3310 |
City | BOZEMAN |
State | MT |
Zip Code | 59715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657456 | Benjamin L Blend | Pathology | 931 Highland Blvd, Suite 3220, Bozeman, MT 59715-6911 | 2005-08-25 |
1134518251 | Susan Niles | Nurse Practitioner | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2015-01-13 |
1679913800 | Casey Clarice Ebert | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715-6911 | 2013-07-02 |
1124468533 | April Dearing | Physical Therapist | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2013-06-29 |
1083999601 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 931 Highland Blvd, Suite 3105, Bozeman, MT 59715-6911 | 2011-10-14 |
1154556702 | Kristina Marie Hool | Internal Medicine | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2009-05-27 |
1992974497 | Bridger Child & Adolescent Psychiatry | Health Maintenance Organization | 931 Highland Blvd, Ste. 3340, Bozeman, MT 59715-6911 | 2008-02-28 |
1003090481 | Melissa Rae Reily | Internal Medicine | 931 Highland Blvd, Suite 3260, Bozeman, MT 59715-6911 | 2007-12-20 |
1134334204 | Barbara Jeanne Eckstein | Nurse Practitioner | 931 Highland Blvd, Suite 3340, Bozeman, MT 59715-6911 | 2007-05-11 |
1407983299 | Bozeman Radiation Oncology PC | Radiology | 931 Highland Blvd, Suite 3130, Bozeman, MT 59715-6911 | 2007-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881780179 | William Mann Wilshire Iv | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2006-10-05 |
1437258209 | Tod Russell Storm | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710928072 | G Gregg Neibauer, Dpm, Inc | Podiatrist | 1845 Bancroft St, Missoula, MT 59801-5747 | 2006-06-09 |
1477891265 | Advanced Foot & Ankle Center LLC | Podiatrist | 110 South Ave W, Missoula, MT 59801-8116 | 2013-01-29 |
1154500544 | G Gregg Neibauer | Podiatrist | 1845 Bancroft St, Missoula, MT 59801-5747 | 2007-11-01 |
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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.