JASON RICHARD HURD (NPI# 1093081150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093081150 |
| Entity Type | Individual |
| Full Name | JASON RICHARD HURD |
| Credential | M.D. |
| Practice Address |
500 W Broadway St Missoula MT 59802 |
| Mailing Address |
500 W Broadway St Missoula MT 59802-4096 |
| Practice Telephone | 4063295615 |
| Practice Fax Number | 4063292791 |
| Mailing Telephone | 4063295615 |
| Mailing Fax Number | 4063292791 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 77208 | MT | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
77208 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St Box 356410, Seattle, WA 981956410 | 2065433687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447471131 | Jason Lee Hurd | Orthopaedic Surgery | 1210 W 18th St, Ste G01, Sioux Falls, SD 57104-4647 | 2007-05-01 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972811768 | Providence Health & Services Mt | Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2010-09-15 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
| 1043233877 | George C Roth Jr. | Surgery | 2831 Fort Missoula Rd, Suite 206, Missoula, MT 59804-7419 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119664 | Centers for Advanced Vein Care of Montana Pllc | Surgery | 1417 9th St S Ste 201, Great Falls, MT 59405-4509 | 2009-08-11 |
| 1881830610 | Benefis Medical Group | Surgery | 500 15th Avenue South, Great Falls, MT 59405-4304 | 2008-12-29 |
| 1780685636 | Michael B Orcutt | Surgery | 1400 29th St S Ste 201, Great Falls, MT 59405-5316 | 2005-08-02 |
| 1972918639 | Thomas Joseph Desmarais | Surgery | 1233 N 30th St, Billings, MT 59101-0127 | 2014-06-21 |
| 1023253044 | Marcus Daly Memorial Hospital Corporation | Surgery | 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 | 2008-12-04 |
| 1053599407 | Robert J Hancock | Surgery | 801 N 29th St, Billings, MT 59101-0905 | 2008-02-07 |
| 1386829216 | William J Harper Md PC | Surgery | 400 Saddle Dr, Helena, MT 59601-5631 | 2008-01-09 |
| 1366627341 | Thomas F Beeson Md PC | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2008-01-08 |
| 1275696742 | Northwest Montana Surgical Associates | Surgery | 1273 Burns Way, Kalispell, MT 59901-3109 | 2006-12-18 |
| 1821108564 | Arne M Olsen | Surgery | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7506 | 2006-08-30 |
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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.