MONTANA STATE UNIVERSITY - BILLINGS (NPI# 1083264816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083264816 |
| Entity Type | Organization |
| Organization Name | MONTANA STATE UNIVERSITY - BILLINGS |
| Other Organization Name | MSUB SPORTS MEDICINE |
| Practice Address |
1500 University Dr Billings MT 59101-0245 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 4066572369 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | KRISTA LEA MONTAGUE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4066572061 |
| 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 |
|---|---|
| MSUB Sports Medicine | Doing Business As Name - Organization |
| MUSB Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679767057 | Montana State University - Billings | Local Education Agency (LEA) | 1500 University Dr, Billings, MT 59101-0245 | 2007-08-29 |
| Street Address |
1500 UNIVERSITY DR |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-0245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073071130 | Rebecca Sue Butler | Student in an Organized Health Care Education/Training Program | 1500 University Dr, Billings, MT 59101-0245 | 2019-03-07 |
| 1215491733 | Sydney Kern | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2019-01-29 |
| 1043707797 | Lindsay Renee Sullivan | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2018-04-18 |
| 1578068748 | Thomas Ebel | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2018-03-28 |
| 1821455684 | Tori Atencio | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2016-01-25 |
| 1811366909 | Suzette Nynas | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2015-09-18 |
| 1720471329 | Elizabeth Anne Davis | Physical Medicine & Rehabilitation | 1500 University Dr, Athletic Department, Billings, MT 59101-0245 | 2015-03-06 |
| 1679767057 | Montana State University - Billings | Local Education Agency (LEA) | 1500 University Dr, Billings, MT 59101-0245 | 2007-08-29 |
| 1760519326 | Patrick M. Hughes | Specialist/Technologist | 1500 University Dr, Billings, MT 59101-0245 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| 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 |
|---|---|---|---|---|
| 1073095667 | Rocky Mountain College | Orthopaedic Surgery | 1511 Poly Dr, Billings, MT 59102-1739 | 2018-08-30 |
| 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.