Benjamin Grass (NPI# 1467894121, PAC ID# 1759607492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467894121 |
| PAC ID by PECOS | 1759607492 |
| Professional Enrollment ID | I20150224000869 |
| Full Name | Benjamin Grass |
| Organization Legal Name | ST LUKES COMMUNITY HOSPITAL |
| Address |
107 6th Ave Sw Ronan MT 59864-2634 |
| Phone Number | 4066764441 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496659567 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271325 | ST LUKE COMMUNITY HOSPITAL |
| 270014 | ST. PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 Railroad St W, Missoula, MT 59802-4109 | 4062584789 | PARTNERSHIP HEALTH CENTER INC |
| 500 W Broadway St, Missoula, MT 59802-4008 | 4065437271 | PROVIDENCE HEALTH AND SERVICES MT |
| 107 6th Ave Sw, Ronan, MT 59864-2634 | 4066764441 | ST LUKES COMMUNITY HOSPITAL |
| Organization Legal Name | ST LUKES COMMUNITY HOSPITAL |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyota Shizuku | Physical Therapy | St Lukes Community Hospital | 107 Ridgewater Dr, Polson, MT 59860-8977 |
| Shannon M Harris | Occupational Therapy | St Lukes Community Hospital | 104 Rufus Ln, Polson, MT 59860-8903 |
| Megan A Vigil | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Edred T Vizcarra | Family Medicine | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Gage F Henderson | Physician Assistant | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Keri J Thorn | Emergency Medicine | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Zachary J Hovorka | General Surgery | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| William C Cullis | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| David J Vaughan | Nurse Practitioner | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Laura I Hoganson | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Street Address |
107 6TH AVE SW |
| City | RONAN |
| State | MT |
| Zip | 59864-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edred T Vizcarra | Family Medicine | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Gage F Henderson | Physician Assistant | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Keri J Thorn | Emergency Medicine | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| David J Vaughan | Nurse Practitioner | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Shanley M Swanson | Clinical Social Worker | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Mary C Velk | Physician Assistant | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Rick Greene | Clinical Social Worker | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Bruce D Mikesell | Family Medicine | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Claire E Nickless | Physician Assistant | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| William B Howard | Diagnostic Radiology | St Lukes Community Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley A Butler | Clinical Social Worker | 223 7th Ave Nw, Ronan, MT 59864-2218 | |
| Megan A Vigil | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Zachary J Hovorka | General Surgery | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| William C Cullis | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Laura I Hoganson | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Robert J Alfiero | Physician Assistant | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Joanna Billings | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Adrian T Davis | Orthopedic Surgery | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| John G Foster | Family Medicine | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Katherine M Mitchell | Nurse Practitioner | St Lukes Community Hospital | 126 6th Ave Sw, Ronan, MT 59864-2600 |
| Find all physicians in zip 59864 | |||
| City | RONAN |
| Zip Code | 59864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RONAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin Grass.
| 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.