KATHLEEN MARKLE RACICOT


Address: 2740 South Avenue West, Suite 101, Missoula, MT 59804-5137
Phone: 4067286101

KATHLEEN MARKLE RACICOT (NPI# 1154655777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154655777
Entity Type Individual
Full Name KATHLEEN MARKLE RACICOT
Credential PA-C
Practice Address 2740 South Avenue West
Suite 101
Missoula
MT 59804-5137
Practice Telephone 4067286101
Practice Fax Number 4067213278
Mailing Telephone 4067286101
Mailing Fax Number 4067213278
Enumeration Date 2009-09-29
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 31214 MT Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
31214 MT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2740 SOUTH AVENUE WEST
SUITE 101
City MISSOULA
State MT
Zip Code 59804-5137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922008077 Northern Rockies Orthopaedics, Pllp Physical Therapist 2740 South Avenue West, Suite 101, Missoula, MT 59804-5114 2005-07-29
1912414186 Nropt Pllc Durable Medical Equipment & Medical Supplies 2740 South Avenue West, Suite 101, Missoula, MT 59804-5114 2018-01-09
1487834305 Amie Michelle Schillinger Physician Assistant 2740 South Avenue West, Suite 101, Missoula, MT 59804-5137 2007-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063019297 Momentum Speech Therapy, PC Speech-Language Pathologist 9885 O'brien Creek Road, Missoula, MT 59804 2020-10-01
1033633037 Marissa Clark Genetic Counselor, MS 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 2017-08-01
1104295245 Scott Richter Specialist/Technologist 2892 Ringo Dr, Missoula, MT 59804 2015-09-18
1467860353 Zachary Ueland Pharmacist 4000 Highway 93 South, Missoula, MT 59804 2014-07-24
1316378185 Tracy Laurel Brothers Counselor 1305 Wyoming Street, Missoula, MT 59804 2013-12-04
1447683651 Granite Pharmacy Missoula, LLC Durable Medical Equipment & Medical Supplies 2230 27th Ave. West, Suite 2, Missoula, MT 59804 2013-08-12
1871843953 Autum Emerson Howell Nurse Practitioner 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 2012-09-14
1821353939 Carlyn Doyle Nurse Practitioner 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 2012-07-05
1396011961 Patricia Jean Evans Internal Medicine 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 2012-03-28
1205126794 Pacific Medical, Inc. Prosthetic/Orthotic Supplier 2732 South Ave West, Suite 202, Missoula, MT 59804 2011-04-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598965097 Travis Lee Harris Physician Assistant 500 W. Broadway, Suite 320, St. Patrick Hospital, Missoula, MT 59802-4008 2007-07-23
1437541471 Stephen Andrew Shepro Physician Assistant 2740 South Ave W Ste 101, Missoula, MT 59804-5137 2015-02-27
1427312438 Jesse Jeffrey Doll Physician Assistant 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811 2012-06-25
1790754463 Jerry J King Physician Assistant 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 2006-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457576407 Rosalee Shorter Physician Assistant 341 Montana Hwy 135, Saint Regis, MT 59866-0176 2007-04-16
1245341874 Tracy Edward Rogers Physician Assistant 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 2006-08-31
1881604668 Harley G Morrell Physician Assistant 2877 Overland Ave Ste C, Billings, MT 59102-7465 2006-08-08
1487644597 Timothy J Devries Physician Assistant 111 Sunnyview Ln, Kalispell, MT 59901-3164 2005-10-28
1447802178 Reid Merrill Gage Physician Assistant 801 N 29th St, Billings, MT 59101-0905 2019-07-12
1083192025 Tyson Vanderby Physician Assistant 2675 Central Ave, Billings, MT 59102-6686 2018-08-01
1205384690 Christine Moen Physician Assistant 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 2016-09-14
1174973564 Jacob Wheeler Physician Assistant 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 2016-06-15
1427414440 Kara Haskell Physician Assistant 1450 Ellis St, #201, Bozeman, MT 59715 2016-01-06
1346642667 Jennifer Vollmer Physician Assistant 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 2014-09-17
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Competitor

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City MISSOULA
Zip Code 59804

Improve Information

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Dataset Information

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.

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