Charles John Tupper Jr. (NPI# 1700944121, PAC ID# 6507995495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1700944121 |
PAC ID by PECOS | 6507995495 |
Professional Enrollment ID | I20100602000928 |
Full Name | Charles John Tupper Jr. |
Organization Legal Name | AWARE INC |
Address |
616 Helena Ave 305 Aware Support Svcs Helena Helena MT 59601-3654 |
Phone Number | 4064493120 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1987 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 4284529348 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
270012 | BENEFIS HOSPITALS INC |
Address | Phone | Organization |
---|---|---|
616 Helena Ave, 305 Aware Support Svcs Helena, Helena, MT 59601-3654 | 4064493120 | AWARE INC |
Organization Legal Name | AWARE INC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lacey J Raymond | Clinical Social Worker | Aware Inc | 205 E Park Ave, Anaconda, MT 59711-2340 |
Yvonne A Benson | Clinical Social Worker | Aware Inc | 1050 S 25th St W, Billings, MT 59102-7417 |
Susan F Depasquale | Nurse Practitioner | Aware Inc | 616 Helena Ave, 305 Aware Support Svcs Helena, Helena, MT 59601-3654 |
Raven C Lipmanson | Psychiatry | Aware Inc | 205 E Park Ave, Anaconda, MT 59711-2340 |
Lacey Hunt | Clinical Social Worker | Aware Inc | 205 E Park Ave, Anaconda, MT 59711-2340 |
Cindy A Schaumberg | Clinical Social Worker | Aware Inc | 205 E Park Ave, Anaconda, MT 59711-2340 |
Lynn M Mousel | Psychiatry | Aware Inc | 205 E Park Ave, Anaconda, MT 59711-2340 |
Street Address |
616 HELENA AVE 305 AWARE SUPPORT SVCS HELENA |
City | HELENA |
State | MT |
Zip | 59601-3654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan F Depasquale | Nurse Practitioner | Aware Inc | 616 Helena Ave, 305 Aware Support Svcs Helena, Helena, MT 59601-3654 |
Cathryn D D English Straub | Clinical Social Worker | 616 Helena Ave, Suite 301, Helena, MT 59601-3654 | |
Kathleen A Dolezal | Nurse Practitioner | 616 Helena Ave, Suite 301, Helena, MT 59601-3654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lance J Doppler | Chiropractic | 932 Aspen St, Helena, MT 59601-0704 | |
Michael D Mcclain | Chiropractic | Vital Energy Chiropractic, Inc. | 1300 Aspen St A, Helena, MT 59601-0905 |
Terah M Mcclain | Chiropractic | Vital Energy Chiropractic, Inc. | 1300 Aspen St A, Helena, MT 59601-0905 |
Donna M Shull | Physician Assistant | Intermountain Planned Parenthood Inc | 1500 Cannon St, Helena, MT 59601-2042 |
Kathleen P Jorgensen | Nurse Practitioner | Intermountain Planned Parenthood Inc | 1500 Cannon St, Helena, MT 59601-2042 |
Debra Kay Dockter | Nurse Practitioner | Intermountain Planned Parenthood Inc | 1500 Cannon St, Helena, MT 59601-2042 |
Mary E Owens | Nurse Practitioner | Intermountain Planned Parenthood Inc | 1500 Cannon St, Helena, MT 59601-2042 |
Christine E Wike | Physical Therapy | 1426 Euclid Ave, Helena, MT 59601-2051 | |
Patricia M Ingalls | Audiologist | Last Chance Audiology, Inc | 1325 Euclid Ave, Helena, MT 59601-2101 |
Kammeron E Gersbach | Chiropractic | 921 Euclid Ave, Helena, MT 59601-2453 | |
Find all physicians in zip 59601 |
City | HELENA |
Zip Code | 59601 |
Specialty | PSYCHIATRY |
City + Specialty | HELENA + PSYCHIATRY |
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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.