DERMATOLOGY ASSOCIATES PLLP (NPI# 1114093846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114093846 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES PLLP |
| Practice Address |
175 Commons Loop Ste 300 Kalispell MT 59901 |
| Practice Telephone | 4067567555 |
| Practice Fax Number | 4067567517 |
| Mailing Telephone | 4067567555 |
| Mailing Fax Number | 4067567517 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | DAVID K MURDOCK (MANAGING OFFICER) |
| Authorized Official Telephone | 4067567555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
175 COMMONS LOOP STE 300 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623181 | Timothy J Gibbs | Physical Therapist | 175 Commons Loop, Suite 100, Kalispell, MT 59901-1904 | 2005-10-14 |
| 1144785916 | Kirsten Svennungsen | Nurse Practitioner | 175 Commons Loop, Kalispell, MT 59901-1904 | 2019-02-06 |
| 1114352333 | Marlesa K Moore | Physical Therapist | 175 Commons Loop, Suite 100, Kalispell, MT 59901-1904 | 2013-09-06 |
| 1104109875 | Kristin Stockham-baller | Physical Therapist | 175 Commons Loop, Suite 100, Kalispell, MT 59901-1904 | 2011-09-20 |
| 1487935060 | Step Ahead Foot & Ankle Clinic PC | Durable Medical Equipment & Medical Supplies | 175 Commons Loop, Suite 400, Kalispell, MT 59901-1904 | 2011-09-08 |
| 1851533145 | Debra K Sullivan | Physical Therapist | 175 Commons Loop, Ste 100, Kalispell, MT 59901-1904 | 2009-04-01 |
| 1013186212 | Esther Sue Barnes | Podiatrist | 175 Commons Loop, Suite 400, Kalispell, MT 59901-1904 | 2008-02-21 |
| 1255529079 | Elizabeth Margaret Bergman | Physical Therapist | 175 Commons Loop, Ste 100, Kalispell, MT 59901-1904 | 2007-10-05 |
| 1508084641 | Advanced Rehabilitation Services LLC | Clinic/Center | 175 Commons Loop, Suite 100, Kalispell, MT 59901-1904 | 2007-04-23 |
| 1336207430 | Thomas F George | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235573114 | Ann Chang Brewer | Dermatology | 175 Commons Loop Ste 300, Kalispell, MT 59901-1904 | 2013-04-23 |
| 1366500464 | Sylvia A Owen | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2006-12-04 |
| 1669552659 | Andrew R Shors | Dermatology | 60 Four Mile Drive Ste 11, Kalispell, MT 59901-2663 | 2006-10-16 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1205305984 | Montana Sky Dermatology PC | Dermatology | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2018-11-25 |
| 1407366545 | Glacier Dermatology PC | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2017-10-03 |
| 1588041719 | Jordan C Cook | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2015-04-27 |
| 1336207430 | Thomas F George | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-12-04 |
| 1316013147 | David K Murdock | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-24 |
| 1770659518 | Kathryn Kay Hansen | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-24 |
| Find all providers in KALISPELL | ||||
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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.