ROCKY MOUNTAIN COLLEGE (NPI# 1073095667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073095667 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN COLLEGE |
| Other Organization Name | ROCKY MOUNTAIN SPORTS MEDICINE |
| Practice Address |
1511 Poly Dr Billings MT 59102-1739 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rocky Mountain Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCKY MOUNTAIN COLLEGE | 1511 Poly Dr, Billings, MT 59102-1739 |
| Virginia Business Entities | Rocky Mountain College LLC | 1600 Pierce St, Lakewood, Colorado 80214 |
| System for Award Management (SAM) Entities | ROCKY MOUNTAIN COLLEGE OF ART & DESIGN | 1600 Pierce St, Lakewood, CO 80214-1433 |
| Colorado Business Entities | Rocky Mountain College Testing Association LLC | 800 Curtis St., Denver, CO 80204 |
| Washington State Corporations | ROCKY MOUNTAIN COLLEGE, LLC | 1600 Pierce St, Lakewood, CO 80214-1433 |
| Connecticut Business Registrations | ROCKY MOUNTAIN COLLEGE, LLC | 1600 Pierce St., Lakewood, CO 80214 |
| New York State Corporations | ROCKY MOUNTAIN COLLEGE, LLC | 1600 Pierce St, Lakewood, Co 80214 |
| Oklahoma Business Registrations | ROCKY MOUNTAIN COLLEGE, LLC | 1600 Pierce St, Lakewood, CO 80214 |
| Street Address |
1511 POLY DR |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528139946 | Cynthia Hutchinson | Counselor | 1511 Poly Dr, Billings, MT 59102-1739 | 2006-11-10 |
| 1891177499 | Patti A States | Family Medicine | 1511 Poly Dr, Billings, MT 59102-1739 | 2015-06-19 |
| 1376832527 | Lindsay Lee Maccatherine | Physician Assistant | 1511 Poly Dr, Billings, MT 59102-1739 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083264816 | Montana State University - Billings | Orthopaedic Surgery | 1500 University Dr, Billings, MT 59101-0245 | 2019-09-13 |
| 1033154760 | David W Shenton Jr. | Orthopaedic Surgery | 2900 12th Ave N, #100e, Billings, MT 59101-7506 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159944 | Mark C Deibert | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2005-07-26 |
| 1083626832 | Alpine Orthopedics & Sports Medicine | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2006-08-12 |
| 1497734909 | Colin G Sherrill | Orthopaedic Surgery | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2006-01-12 |
| 1922008374 | Timothy O'brien | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2005-07-28 |
| 1831199090 | Michael J. Schutte | Orthopaedic Surgery | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2005-07-28 |
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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.