Eric A Ravitz (NPI# 1215034681, PAC ID# 5597791897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215034681 |
| PAC ID by PECOS | 5597791897 |
| Professional Enrollment ID | I20050708000527 |
| Full Name | Eric A Ravitz |
| Organization Legal Name | BLUE MOUNTAIN CLINIC, INC. |
| Address |
610 N California St Missoula MT 59802-3950 |
| Phone Number | 4067211646 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688600984 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST. PATRICK HOSPITAL |
| 270023 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 610 N California St, Missoula, MT 59802-3950 | 4067211646 | BLUE MOUNTAIN CLINIC, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BLUE MOUNTAIN CLINIC, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vasa Parsons | Clinical Social Worker | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Joey M Banks | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Nicole Joan Muskett | Physician Assistant | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Alison B Charman | Nurse Practitioner | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Kelly J Polus | Physician Assistant | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Deanna L Phinney | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Caitlin Marie Blau | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Bernadette L Kneefe | Clinical Social Worker | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Street Address |
610 N CALIFORNIA ST |
| City | MISSOULA |
| State | MT |
| Zip | 59802-3950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vasa Parsons | Clinical Social Worker | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Joey M Banks | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Nicole Joan Muskett | Physician Assistant | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Alison B Charman | Nurse Practitioner | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Kelly J Polus | Physician Assistant | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Deanna L Phinney | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Caitlin Marie Blau | Family Medicine | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Bernadette L Kneefe | Clinical Social Worker | Blue Mountain Clinic, Inc. | 610 N California St, Missoula, MT 59802-3950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Mann | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Laura E Marx | Nurse Practitioner | 825 W Kent Ave, Missoula, MT 59802 | |
| Ragna M Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Aric A Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Megan Sproull | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Noah M Bray | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Robert J Gillespie | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Carissa A Benjamin | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Danielle Chapin | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Angela Marie Ireland | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Find all physicians in zip 59802 | |||
| City | MISSOULA |
| Zip Code | 59802 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MISSOULA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Eric A Ravitz.
| 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.