JENNIFER RECK (NPI# 1043605843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043605843 |
| Entity Type | Individual |
| Full Name | JENNIFER RECK |
| Other Name | JENNIFER HALL |
| Credential | MD |
| Practice Address |
2835 Fort Missoula Rd # 3 Missoula MT 59804 |
| Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Mailing Telephone | 4067215600 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 67143 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
2835 FORT MISSOULA RD # 3 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760441224 | Edwin Levine | Internal Medicine | 2835 Fort Missoula Rd # 3, Missoula, MT 59804 | 2006-03-22 |
| 1730634510 | Meagan Elizabeth Gray Kuchel | Nurse Practitioner | 2835 Fort Missoula Rd # 3, Missoula, MT 59804 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423207 | Earle Robert Shields | Pediatrics | 6111 Miller Creek Rd, Missoula, MT 59803-9507 | 2012-06-27 |
| 1407055130 | Christopher Jons | Pediatrics | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2007-07-12 |
| 1942210166 | Thomas Randall | Pediatrics | 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 | 2006-08-09 |
| 1750317558 | Karen Betts Mielke | Pediatrics | 500 W. Broadway St, Missoula, MT 59806-4587 | 2006-06-23 |
| 1457393357 | Lauren K Willis | Pediatrics | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2006-06-12 |
| 1841247467 | Dirk R Gottman | Pediatrics | 2835 Fort Missoula Road, Missoula, MT 59804-7408 | 2006-05-28 |
| 1023542388 | University of Utah Pediatric Services | Pediatrics | 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 | 2017-04-13 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| 1568808525 | Jennifer Wilkinson | Pediatrics | 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 | 2013-05-17 |
| 1245541945 | Shaina Rogers | Pediatrics | 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 | 2010-06-28 |
| Find all providers in MISSOULA | ||||
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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.