JOHN DAVID ANTHONY LAKATUA (NPI# 1023063070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023063070 |
| Entity Type | Individual |
| Full Name | JOHN DAVID ANTHONY LAKATUA |
| Credential | MD |
| Practice Address |
500 West Broadway Missoula MT 59802-4008 |
| Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Practice Fax Number | 4067213907 |
| Mailing Telephone | 4067215600 |
| Mailing Fax Number | 4067213907 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
8432 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0107763 | 05 |
| Street Address |
500 WEST BROADWAY |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882630 | Craig H. Mchood | Family Medicine | 500 West Broadway, Missoula, MT 59802-4003 | 2006-02-24 |
| 1245537018 | Danielle Lynn Sebastian | Pharmacist | 500 West Broadway, Saint Patrick Hospital Pharmacy, Missoula, MT 59802 | 2011-02-14 |
| 1114229291 | Teresa Diane Stanley | Pharmacist | 500 West Broadway, Missoula, MT 59802 | 2010-11-23 |
| 1629239272 | Katherine Kosma Schwartz | Counselor | 500 West Broadway, St Patrick Hospital & Health Sciences Center, Missoula, MT 59802-4008 | 2008-06-17 |
| 1427219070 | David Ralph Fields | Counselor | 500 West Broadway, Saint Patrick Hospital & Health Sciences Center, Missoula, MT 59802-4008 | 2008-06-17 |
| 1285895839 | Kristin Eckholm Airhart | Social Worker | 500 West Broadway, St Patrick Hospital & Health Sciences Center, Missoula, MT 59802-4008 | 2008-06-17 |
| 1336300912 | Suzanne Evans Goold | Social Worker | 500 West Broadway, Saint Patrick Hospital & Health Sciences Center, Missoula, MT 59802-4008 | 2008-06-17 |
| 1346396967 | Michael C Reed | Internal Medicine | 500 West Broadway, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-01-26 |
| 1316093917 | Joshua Benjamin Christensen | Internal Medicine | 500 West Broadway, St. Patrick Hospital and Health Sciences Center, Missoula, MT 59802 | 2007-01-26 |
| 1922168517 | Jamie Maria Lilly | Physician Assistant | 500 West Broadway, Missoula, MT 59802 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871825018 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Missoula, MT 59802 | 2010-02-12 |
| 1528252079 | Jonathan Warren Mcneely | Internal Medicine | 500 W Broadway St Fl 4, Missoula, MT 59802-4008 | 2007-08-28 |
| 1114973229 | Margaret A Eddy | Internal Medicine | 500 West Broadway, Missoula, MT 59802-4008 | 2006-05-26 |
| 1033102116 | Curtis G Wickre | Internal Medicine | 500 W Broadway St, 4th Floor, Missoula, MT 59802-4008 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013952118 | Tobin James Hoppes | Internal Medicine | 75 Claremont St Ste H, Kalispell, MT 59901-3500 | 2006-06-20 |
| 1891745899 | Grace E Kim | Internal Medicine | 7641 Charolais St, Billings, MT 59106-9664 | 2006-05-11 |
| 1447209184 | Montana Nephrology Associates PC | Internal Medicine | 2411 Village Ln, Billings, MT 59102-2491 | 2006-05-09 |
| 1932157716 | Gerald C Groggel | Internal Medicine | 931 Highland Blvd- Suite 3260, Bozeman, MT 59715 | 2006-05-04 |
| 1700277837 | Kalispell Regional Medical Center Inc | Internal Medicine | 75 Claremont St Ste H, Kalispell, MT 59901-3500 | 2015-02-11 |
| 1669739017 | Great Falls Nephrology Associates PC | Internal Medicine | 2800 11th Ave S, Suite 29, Great Falls, MT 59405-5263 | 2012-04-23 |
| 1821288051 | Gabor Bodonyi-kovacs | Internal Medicine | 75 Claremont St Ste H, Kalispell, MT 59901-3500 | 2007-07-25 |
| 1629138797 | Cindy K Sharp | Internal Medicine | 931 Highland Blvd Ste 3260, Bozeman, MT 59715-6907 | 2006-12-11 |
| 1306929377 | James Knostman | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2006-10-23 |
| 1174537658 | Kendrick Ann Trostel | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2006-07-28 |
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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.