STEPHANIE ELIZABETH CARL (NPI# 1205468725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205468725 |
| Entity Type | Individual |
| Full Name | STEPHANIE ELIZABETH CARL |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Mailing Address |
500 W Broadway St Ste 320 Missoula MT 59802-4003 |
| Practice Telephone | 4063295615 |
| Mailing Telephone | 4063295615 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MED-PAC-LIC-8002 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986103 | Stephanie S Carl | Massage Therapist | 1366 E Larch St, Othello, WA 99344-1535 | 2019-11-14 |
| 1710950530 | Stephanie H Carl | Obstetrics & Gynecology | 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 | 2006-02-10 |
| 1487104253 | Stephanie Erickson Carl | Counselor | 4526 Federal Ave Bldg 9, Everett, WA 98203-2132 | 2016-10-05 |
| 1871952234 | Stephanie Carl | Social Worker | 1500 Franklin St Ne, Washington, DC 20018-2000 | 2016-02-14 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| 1033640370 | Abigail Rose Mansch | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1043215221 | Ruth M West | Physician Assistant | 900 N Orange St, Suite #207, Missoula, MT 59802-2998 | 2005-06-15 |
| 1831582568 | Brianna Lui | Physician Assistant | 900 N Orange St, Suite 303, Missoula, MT 59802-2998 | 2015-03-04 |
| 1972994739 | Heidi Maria Meierbachtol | Physician Assistant | 500 W Broadway St, Suite 320, Missoula, MT 59802-4008 | 2015-02-13 |
| 1124422506 | Andrew David Ashford | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2014-10-14 |
| 1538584958 | Alira N Spring | Physician Assistant | 1821 South Ave W Ste 402, Missoula, MT 59801-6518 | 2014-02-21 |
| 1649509506 | Winslow Lewis IIi | Physician Assistant | 323 W Alder St, Missoula, MT 59802-4123 | 2009-12-23 |
| 1518296672 | Elizabeth A. Mcneece | Physician Assistant | 900 N Orange St Ste 202, Missoula, MT 59802-2951 | 2009-12-18 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| 1750533071 | Carin Dougherty | Physician Assistant | 601 W Spruce St, Suite C, Missoula, MT 59802-4057 | 2008-10-17 |
| 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.