KALISPELL GASTROENTEROLOGY,PC (NPI# 1972720811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972720811 |
| Entity Type | Organization |
| Organization Name | KALISPELL GASTROENTEROLOGY,PC |
| Practice Address |
75 Claremont St Suite F Kalispell MT 59901-3585 |
| Practice Telephone | 4067527441 |
| Practice Fax Number | 4062570304 |
| Mailing Telephone | 4067527441 |
| Mailing Fax Number | 4062570304 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MR. CRAIG A HARRISON (MANAGING PARTNER) |
| Authorized Official Telephone | 4067527441 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
75 CLAREMONT ST SUITE F |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808478 | Joseph Hugh Boyle | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2005-08-22 |
| 1891151122 | Kalispell Regional Medical Center Inc | Internal Medicine | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2015-12-31 |
| 1184011561 | Healthcenter Northwest LLC | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2015-04-23 |
| 1821429374 | Anne Green | Nurse Practitioner | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-12-10 |
| 1174956973 | Kalispell Regional Medical Center Inc | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-08-15 |
| 1588912836 | Laci Ann Burk | Nurse Practitioner | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2012-08-16 |
| 1215223029 | Benjamin Todd Eastham | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2011-06-21 |
| 1952692766 | Kalispell Regional Medical Center Inc | Clinic/Center | 75 Claremont St, #h, Kalispell, MT 59901-3531 | 2011-04-27 |
| 1912140435 | Michael Todd Rutherford | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2009-04-14 |
| 1275789901 | Glacier Oncology, Pllc | Clinic/Center | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2008-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295101970 | Joshua Erickson | Specialist | 331 Harrison Blvd, Kalispell, MT 59901-2624 | 2015-08-17 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1194004887 | Yvonne Hall | Specialist | 50 2nd St E Ste 120, Kalispell, MT 59901-4502 | 2011-08-11 |
| 1295899474 | Jeffrey David Eayrs | Specialist | 1500 Airport Rd, Kalispell, MT 59901-5748 | 2006-12-21 |
| 1336235027 | Robert Y. Jordan | Specialist | 66 Cclaremont Ave L.l., Kalispell, MT 59901 | 2006-10-04 |
| 1316962731 | John A. Lavin | Specialist | 210 Sunnyview Ln Ste 201, Kalispell, MT 59901-3128 | 2006-07-13 |
| 1730550807 | Massaj Mahal | Specialist | 22 2nd Ave W, 1100, Kalispell, MT 59901-4466 | 2015-10-14 |
| 1962787903 | Jenna Marie Darnell Johnson | Specialist | 10 Three Mile Dr, Kalispell, MT 59901-3034 | 2011-10-20 |
| 1578708418 | Susan Rene' Erickson | Specialist | 2 Main St, Ste 202, Kalispell, MT 59901-6414 | 2008-12-05 |
| 1285830646 | Kalispell Obstetrics & Gynecology Pllc | Specialist | 210 Sunnyview Ln Ste 201, Kalispell, MT 59901-3128 | 2007-06-22 |
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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.