DR. ZACKERY W WITTE (NPI# 1174968416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174968416 |
Entity Type | Individual |
Full Name | DR. ZACKERY W WITTE |
Credential | M.D. |
Practice Address |
2360 Mullan Rd Ste C Missoula MT 59808 |
Mailing Address |
2360 Mullan Rd Ste C Missoula MT 59808-1811 |
Practice Telephone | 4067214436 |
Practice Fax Number | 4067216053 |
Mailing Telephone | 4067214436 |
Mailing Fax Number | 4067216053 |
Enumeration Date | 2013-04-30 |
Last Update Date | 2019-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 73318 | MT | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | R3365 | KY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
800 Rose St # Hq101, Lexington, KY 405360284 | 8592183044 | 8593232412 |
Street Address |
2360 MULLAN RD STE C |
City | MISSOULA |
State | MT |
Zip Code | 59808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548255540 | Jeffrey Mariano Laporte | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2005-09-15 |
1245855030 | Cayden Napierala | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-06-08 |
1629617956 | Kathryn Diane Fisette | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-01-03 |
1245889484 | Mitchell Mayfield | Physician Assistant | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2019-09-10 |
1750876041 | Samantha Rose Gunderson Morton | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2018-06-28 |
1790207090 | Taylor Danielle Manning | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2017-07-09 |
1871048801 | Jessica Paske | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-08-19 |
1013365386 | Matthew Schumacher | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-05-27 |
1710361175 | Lindsey Marie Ross | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2015-07-16 |
1144669912 | James Joseph Gholson | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808 | 2013-06-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
Find all providers in zip 59808 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578572129 | Justin A. Jacobson | Orthopaedic Surgery | 2831 Fort Missoula Road, Suite 232, Missoula, MT 59804 | 2006-08-05 |
1548255540 | Jeffrey Mariano Laporte | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2005-09-15 |
1174523336 | Larry R. Stayner | Orthopaedic Surgery | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2005-07-28 |
1144754938 | University of Utah Adult Services | Orthopaedic Surgery | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2017-04-18 |
1144669912 | James Joseph Gholson | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808 | 2013-06-14 |
1356637995 | Daniel R Whiting | Orthopaedic Surgery | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2011-06-22 |
1770882565 | Jessica Jewel Maxine Telleria | Orthopaedic Surgery | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2011-03-20 |
1659692929 | Daniel Dixon | Orthopaedic Surgery | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2010-06-21 |
1063654283 | Taylor Buckley | Orthopaedic Surgery | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2009-04-02 |
1346374972 | James R Burton | Orthopaedic Surgery | 2825 Fort Missoula Rd, Suite 317a, Missoula, MT 59804-7420 | 2007-03-15 |
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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.