Michael T Henson (NPI# 1306907308, PAC ID# 0840261848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306907308 |
| PAC ID by PECOS | 0840261848 |
| Professional Enrollment ID | I20040803001569 |
| Full Name | Michael T Henson |
| Organization Legal Name | NORTHWEST IMAGING, PC |
| Address |
640 W Park Dr Marias Medical Center Shelby MT 59474-1663 |
| Phone Number | 4064343200 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8426969155 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270087 | THE HEALTHCENTER |
| 270051 | KALISPELL REGIONAL MEDICAL CENTER |
| 271336 | NORTH VALLEY HOSPITAL |
| 271320 | CABINET PEAKS MEDICAL CENTER |
| 271323 | CLARK FORK VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 4067525111 | NORTHWEST IMAGING, PC |
| 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 | 4067517500 | NORTHWEST IMAGING, PC |
| 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 | 4064343200 | NORTHWEST IMAGING, PC |
| Organization Legal Name | NORTHWEST IMAGING, PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared H Heimbigner | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Richard G Friedman | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| Kelly T Kieper | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| Nicholas C Cantrell | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Zachary White Washburn | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| Donald J Schumacher | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Bruce F Gray Iii | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| James M Mckee | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Patrick J Mcdonnell | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| Earl Michael Chester | Diagnostic Radiology | Northwest Imaging, PC | 320 Sunnyview Ln, Northwest Imaging, Kalispell, MT 59901-3129 |
| Street Address |
640 W PARK DR MARIAS MEDICAL CENTER |
| City | SHELBY |
| State | MT |
| Zip | 59474-1663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared H Heimbigner | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Nicholas C Cantrell | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Donald J Schumacher | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| James M Mckee | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Nicholas J Satovick | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Paul Hooker | Podiatry | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Ronald S Ray | Certified Registered Nurse Anesthetist | Toole County | 640 Park Ave, Shelby, MT 59474-1663 |
| Todd E Gianarelli | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Joni Walton | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Brooke Elain Dager | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Jodi L Habets | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Katherine Biccum | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Mechelle Lewis | Internal Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Tony L Ham | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| April C Viverette | Clinical Social Worker | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
| Find all physicians in zip 59474 | |||
| City | SHELBY |
| Zip Code | 59474 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHELBY + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.