NORTHWEST ORTHOPEDICS AND SPORTS MEDICINE LLC (NPI# 1184679391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679391 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Other Organization Name | NORTHWEST ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
350 Heritage Way Ste 1200 Kalispell MT 59901-3160 |
| Practice Telephone | 4067526784 |
| Practice Fax Number | 4067564111 |
| Mailing Telephone | 4067526784 |
| Mailing Fax Number | 4067564111 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | CRAIG J LAMBRECHT (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwest Orthopedics and Sports Medicine | Doing Business As Name - Organization |
| Street Address |
350 HERITAGE WAY STE 1200 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183741 | Kalispell Regional Medical Center, Inc | Clinic/Center | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2020-10-29 |
| 1548797707 | Trent Gahl | Occupational Therapist | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2017-05-18 |
| 1801261573 | Ross Richard Van Brunt | Physician Assistant | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2015-12-07 |
| 1740571777 | Timothy Andrew Joyce | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2011-04-25 |
| 1902124084 | Scott William Rogers | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2010-05-13 |
| 1568669877 | John L Willcut | Nurse Practitioner | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2007-06-29 |
| 1285839894 | Benjamin D Ward | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2007-06-15 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366837585 | New Hope Medicine Clinical Preventative Services | Clinic/Center | 8 1st St E Ste 104, Kalispell, MT 59901-6119 | 2015-04-03 |
| 1164720769 | Kalispell Regional Med Center Inc | Clinic/Center | 75 Claremont St Ste Dhf, Kalispell, MT 59901-3585 | 2011-03-05 |
| 1538390844 | Evergreen Clinic PC | Clinic/Center | 2181 Highway 2 East, Suite 9, Kalispell, MT 59901-2858 | 2009-08-04 |
| 1689615874 | Evergreen, Inc | Clinic/Center | 2181 Hwy 2, East, Suite 9, Kalispell, MT 59901 | 2006-06-09 |
| 1114973781 | Glacier Neuroscience & Spine LLC | Clinic/Center | 200 Commons Way, Kalispell, MT 59901-1914 | 2006-05-25 |
| 1154376671 | Applied Health Services Inc | Clinic/Center | 202 Conway Dr, Suite 100, Kalispell, MT 59901-3153 | 2006-05-23 |
| 1356394944 | Kalispell Regional Medical Center Inc | Clinic/Center | 202 Conway Drive, Suite 100, Kalispell, MT 59901-3153 | 2006-05-18 |
| 1770183741 | Kalispell Regional Medical Center, Inc | Clinic/Center | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2020-10-29 |
| 1336623313 | Ideal Telemedicine Services LLC | Clinic/Center | 1205 S Main St, Kalispell, MT 59901-5639 | 2018-09-17 |
| 1568945111 | Ideal Option, Pllc | Clinic/Center | 1205 S Main St, Kalispell, MT 59901-5639 | 2018-09-10 |
| 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.