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).
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 |
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 |
Street Address |
2801 GREAT NORTHERN LOOP SUITE 101 |
City | MISSOULA |
State | MT |
Zip Code | 59808-1745 |
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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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 Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
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. |
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 |
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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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.