DR. CARL EDWARD THORNBLADE


Address: 2801 Great Northern Loop, Suite 101, Missoula, MT 59808-1745
Phone: 4067286472

DR. CARL EDWARD THORNBLADE (NPI# 1073605200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073605200
Entity Type Individual
Full Name DR. CARL EDWARD THORNBLADE
Credential MD
Practice Address 2801 Great Northern Loop
Suite 101
Missoula
MT 59808-1745
Practice Telephone 4067286472
Practice Fax Number 4067289175
Mailing Telephone 4067286472
Mailing Fax Number 4067289175
Enumeration Date 2006-09-28
Last Update Date 2015-07-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 11594 MT Allopathic & Osteopathic Physicians
N 207K00000X Allergy & Immunology D0062345 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 2801 GREAT NORTHERN LOOP
SUITE 101
City MISSOULA
State MT
Zip Code 59808-1745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225685399 Carly Keene Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2019-08-22
1205332582 Cortney Alexandria Skinner Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2018-04-04
1912425794 Sarah Jean Nelson Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2017-08-31
1477906808 Tyler Rapke Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2016-07-21
1972960276 Laura Elizabeth Gilhousen Acupuncturist 2801 Great Northern Loop, Missoula, MT 59801 2016-01-19
1689047391 Randi Plouffe Reflexologist 2801 Great Northern Loop, Missoula, MT 59808-1745 2015-11-03
1649679408 April Gragg Chiropractor 2801 Great Northern Loop, Missoula, MT 59808-1745 2014-08-18
1053726323 Derek Gene Smith Jr. Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2014-06-25
1649694092 Charles Vickrey Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2014-02-05
1740620830 Eugene Statelen Specialist 2801 Great Northern Loop, Missoula, MT 59808-1745 2013-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
1831126747 Donald Nevin Gillespie Allergy & Immunology 610 W Spruce St, Missoula, MT 59802-4009 2006-06-27
1710095211 Ward S Dewitt Allergy & Immunology 2825 Fort Missoula Rd, Suite 317c, Missoula, MT 59804-7420 2006-08-26
1477661874 Allergy and Infusion Services of Missoula, Pllc Allergy & Immunology 2825 Fort Missoula Rd, Suite 317c, Missoula, MT 59804-7420 2006-08-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629208772 Montana Allergy, Pllc Allergy & Immunology 2900 12th Ave. N, #302e, Billings, MT 59101-7515 2009-07-23
1073642831 Maciej Tomaszewski Allergy & Immunology 1020 No 27th St, #315, Billings, MT 59101 2007-03-05
1316999824 Michael C Zacharisen Allergy & Immunology 4265 Fallon St Ste 3a, Bozeman, MT 59718-6797 2006-05-16
1386633220 Alan A Wanderer Allergy & Immunology 2055 N 22nd Ave, Ste 1, Bozeman, MT 59718-2783 2005-10-13
1447244454 Mary Irene B Feria Allergy & Immunology 430 Windward Way, Suite 100, Kalispell, MT 59901-2619 2005-09-06
1720083173 Michael C Dicello Allergy & Immunology 1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290 2005-06-14
1942820295 United Immunology and Allergy LLC Allergy & Immunology 420 1st St E, Polson, MT 59860-2106 2020-04-16
1619347390 Bozeman Health Deaconess Hospital Allergy & Immunology 915 Highland Blvd, Bozeman, MT 59715-6902 2015-10-07
1144512096 Juan Armando Adams Allergy & Immunology 801 N 29th St, Billings, MT 59101-0905 2011-05-11
1083882187 Montana Allergy and Asthma Spec Allergy & Immunology 2900 12th Ave N, #302e, Billings, MT 59101 2008-02-12
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Competitor

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City MISSOULA
Zip Code 59808

Improve Information

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Dataset Information

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.

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