DR. DANA HEADAPOHL (NPI# 1962562371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962562371 |
| Entity Type | Individual |
| Full Name | DR. DANA HEADAPOHL |
| Practice Address |
601 W Spruce St Suite C Missoula MT 59802-4057 |
| Mailing Address |
500 W Broadway St Missoula MT 59802-4008 |
| Practice Telephone | 4063292647 |
| Practice Fax Number | 4063295606 |
| Mailing Telephone | 4063295749 |
| Mailing Fax Number | 4063271697 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5335 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
601 W SPRUCE ST SUITE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821048729 | Kimberly John Curtis | Internal Medicine | 601 W Spruce St, Suite K, Missoula, MT 59802-4057 | 2006-05-11 |
| 1275934333 | Mackenzie Leigh Epler | Physician Assistant | 601 W Spruce St, Missoula, MT 59802-4057 | 2014-09-09 |
| 1396034328 | Robert Choyce Humble | Obstetrics & Gynecology | 601 W Spruce St, Missoula, MT 59802-4057 | 2011-03-30 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| 1982900411 | Diana Podlecki | Physician Assistant | 601 W Spruce St, Missoula, MT 59802-4057 | 2011-02-01 |
| 1306086160 | Providence Health & Services Mt | Physical Medicine & Rehabilitation | 601 W Spruce St, Ste C, Missoula, MT 59802-4057 | 2009-03-05 |
| 1750533071 | Carin Dougherty | Physician Assistant | 601 W Spruce St, Suite C, Missoula, MT 59802-4057 | 2008-10-17 |
| 1376705491 | Ruth Ann Payne | Technician/Technologist | 601 W Spruce St, Suite E, Missoula, MT 59802-4047 | 2008-06-30 |
| 1487835351 | Motion Medical Solutions, Inc | Durable Medical Equipment & Medical Supplies | 601 W Spruce St, Suite J, Missoula, MT 59802-4057 | 2007-11-20 |
| 1437353232 | Jennifer Burch Mayo | Obstetrics & Gynecology | 601 W Spruce St, Missoula, MT 59802-4057 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497012009 | Roland Sweatman | General Practice | 1410 Stanley St, Missoula, MT 59802-3312 | 2012-04-19 |
| 1952566192 | Walter Howard Peschel | General Practice | 500 W Broadway St, Missoula, MT 59802-4008 | 2008-07-28 |
| 1700822483 | Robert W Cruikshank | General Practice | 401 Railroad St W, Missoula, MT 59802 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687876 | Edward Michael Uriell | General Practice | 1607 Avenue E Apt 2, Billings, MT 59102-3064 | 2019-06-06 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| 1225479918 | Thu Tran | General Practice | 126 Indian Health Way, Harlem, MT 59526-9489 | 2013-07-10 |
| 1902079965 | Molly Elizabeth Biehl | General Practice | 210 E Crofoot Ln, Sheridan, MT 59749-7714 | 2008-04-10 |
| 1639399009 | Sage Medical Clinic PC | General Practice | 820 N. Montana Ave, Helena, MT 59601 | 2007-04-26 |
| 1225252935 | Richard J Best | General Practice | 101 Arrow St Dba Garden Wall Clinic, St. Ignatius, MT 59865 | 2007-04-12 |
| 1215005335 | Steven Bradley Sonntag | General Practice | 100 Cheyenne Ave., Lame Deer, MT 59043-0070 | 2006-11-30 |
| 1336221613 | Reed L Yeater | General Practice | 5 4th Ave East, Poison, MT 59860 | 2006-10-19 |
| 1285737635 | William Ferril | General Practice | 550 A Central Ave, Whitefish, MT 59937 | 2006-09-07 |
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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.