DR. DIONNE DRAKULICH (NPI# 1154716876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154716876 |
| Entity Type | Individual |
| Full Name | DR. DIONNE DRAKULICH |
| Credential | M.D. |
| Practice Address |
2835 Fort Missoula Rd Ste 101 Missoula MT 59804-7424 |
| Practice Telephone | 4063274640 |
| Practice Fax Number | 5049881846 |
| Mailing Telephone | 4063274640 |
| Mailing Fax Number | 5049881846 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 77008 | MT | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | MED-PHYS-LIC-770 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
2835 FORT MISSOULA RD STE 101 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7424 |
| 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 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675233 | Jennifer Larson | Obstetrics & Gynecology | 3624 Brooks St Ste 101, Missoula, MT 59801-7338 | 2006-05-13 |
| 1932160900 | Craig William Mccoy | Obstetrics & Gynecology | 2825 Fort Missoula Road, Suite 217, Missoula, MT 59804-7403 | 2006-03-30 |
| 1841835113 | Origin Health LLC | Obstetrics & Gynecology | 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804-7479 | 2019-11-11 |
| 1255852232 | Montana Women's Healthcare, LLC | Obstetrics & Gynecology | 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 | 2017-06-29 |
| 1366824930 | Scott C Wyman Md PC | Obstetrics & Gynecology | 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 | 2015-06-19 |
| 1326429325 | Tondy Lee Baumgartner | Obstetrics & Gynecology | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2015-06-15 |
| 1396034328 | Robert Choyce Humble | Obstetrics & Gynecology | 601 W Spruce St, Missoula, MT 59802-4057 | 2011-03-30 |
| 1407172612 | Scott C Wyman | Obstetrics & Gynecology | 2835 Fort Missoula Rd Ste 305, Missoula, MT 59804-7424 | 2010-04-13 |
| 1609192160 | James M Summers, Do & Associates PC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7480 | 2010-04-08 |
| 1417198243 | Providence Health & Services Mt | Obstetrics & Gynecology | 500 W Broadway St, 3rd Floor, Missoula, MT 59802-4096 | 2009-03-06 |
| Find all providers in MISSOULA | ||||
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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.