JOSEPH PETER NICOLETTO (NPI# 1093822736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093822736 |
| Entity Type | Individual |
| Full Name | JOSEPH PETER NICOLETTO |
| Credential | M.D. |
| Practice Address |
308 Louisiana Ave Ste 1 Libby MT 59923-2159 |
| Practice Telephone | 4062836800 |
| Practice Fax Number | 4062932936 |
| Mailing Telephone | 4062836800 |
| Mailing Fax Number | 4062932936 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 6707 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BC/BS | 98531 | 01 |
| MT | 0042585 | 05 |
| Street Address |
308 LOUISIANA AVE STE 1 |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717360 | Nicole Marie Bothman | Nurse Practitioner | 308 Louisiana Ave Ste 1, Libby, MT 59923-2159 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134548597 | Jeffrey Devin Redshaw | Urology | 2875 Tina Ave Ste 101, Missoula, MT 59808-1582 | 2014-04-15 |
| 1922345396 | Dayton Rusby Seabaugh | Urology | 395 Lower Valley Rd, Kalispell, MT 59901-7974 | 2013-01-05 |
| 1285928754 | Richard Craig Slater | Urology | 3000 15th Ave S Dept Of, Great Falls, MT 59405-5240 | 2011-06-02 |
| 1588955256 | Michael J Berson | Urology | 169 Sunset Trl, Kalispell, MT 59901-7820 | 2011-04-28 |
| 1154557999 | Michael Oliver Hickman Jr. | Urology | 2900 12th Ave N Ste 503e, Billings, MT 59101-7502 | 2009-06-08 |
| 1306091541 | Michael B Agee | Urology | 429 S Cooke St, Helena, MT 59601-5147 | 2008-12-01 |
| 1275657371 | James Bruce Robertson | Urology | 2002 N 22nd Ave Ste 1, Bozeman, MT 59718-3153 | 2007-03-16 |
| 1457443251 | Bjorn Sauerwein | Urology | 935 Highland Blvd Ste 2160, Bozeman, MT 59715-6913 | 2006-09-29 |
| 1891886867 | Urology Associates PC | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2006-09-27 |
| 1598867061 | Craig Grinnell Hinman | Urology | 625 7th Ave E, Kalispell, MT 59901-5050 | 2006-09-03 |
| Find all providers with the same taxonomy | ||||
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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.