LENNARD STEVEN WILSON


Address: 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423
Phone: 4063274091

LENNARD STEVEN WILSON (NPI# 1225023096) 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) 1225023096
Entity Type Individual
Full Name LENNARD STEVEN WILSON
Credential M.D.
Practice Address 2835 Fort Missoula Rd
Ste 203
Missoula
MT 59804-7423
Mailing Address 6520 Driftwood Ln
Missoula
MT 59803-3218
Practice Telephone 4063274091
Practice Fax Number 4063274590
Mailing Telephone 4062515253
Mailing Fax Number 4062516153
Enumeration Date 2005-09-16
Last Update Date 2010-02-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
6749 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 0088049 05

Office Location

Street Address 2835 FORT MISSOULA RD
STE 203
City MISSOULA
State MT
Zip Code 59804-7423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053304378 Troy Dennis Warling Nurse Practitioner 2835 Fort Missoula Rd, Physician Center 3, Suite 204, Missoula, MT 59804-7423 2005-08-23
1255852232 Montana Women's Healthcare, LLC Obstetrics & Gynecology 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 2017-06-29
1881050466 Polly Becker Social Worker 2835 Fort Missoula Rd, Pediatric Specialty Clinic, Missoula, MT 59804-7423 2016-01-12
1366824930 Scott C Wyman Md PC Obstetrics & Gynecology 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 2015-06-19
1588062509 Rchp Billings - Missoula LLC Pharmacy 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2014-12-08
1497185722 Katelyn Stetzner Registered Nurse 2835 Fort Missoula Rd, Suite 102, Missoula, MT 59804-7423 2013-11-22
1639417041 Tiffany Michelle Ford Nurse Practitioner 2835 Fort Missoula Rd, Physician Center # 3, Missoula, MT 59804-7423 2013-01-18
1598018939 Catherine Charlagne Capps Specialist 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 2012-10-23
1205117785 Ryan Barrett Nurse Practitioner 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2011-08-29
1851691208 Community Medical Center Inc Pharmacy 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2010-11-01
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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 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669728556 Imran Khan Psychiatry & Neurology 601 W Spruce St Ste J, Missoula, MT 59802-4047 2012-07-27
1780810275 Montana Neurology Pllc Psychiatry & Neurology 2825 Fort Missoula Rd Ste 121, Missoula, MT 59804 2009-06-10
1093135741 Kyle Charles Smith Psychiatry & Neurology 601 W Spruce St Ste J, Missoula, MT 59802 2014-04-21
1497814743 Michael S Young Psychiatry & Neurology 1410 S Reserve St, Missoula, MT 59801-4758 2006-12-06
1548209851 Stephen F Johnson Psychiatry & Neurology 900 N Orange St, Third Floor, Missoula, MT 59802-2998 2006-06-05
1770536872 John D Schaeffer Psychiatry & Neurology 900 N Orange St, Third Floor, Missoula, MT 59802-2998 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316366495 David Keith Lorance Jr. Psychiatry & Neurology 931 Highland Blvd Ste 3210, Bozeman, MT 59715-6912 2014-04-15
1467636746 Wynde Kae Cheek Psychiatry & Neurology 5611 Rainbow Dr, Helena, MT 59602-9574 2007-12-22
1467635920 Stuart N. Kieran, M.d., Pllc Psychiatry & Neurology 1019 W Main, Hamilton, MT 59840-4218 2007-12-07
1114114220 Mary Carol Sims Psychiatry & Neurology 140 Weasel Creek Rd, Box 470126, Winston, MT 59647-0126 2007-10-02
1457486276 Intermountain Neurology PC Psychiatry & Neurology 650 Ferguson Ave, Suite 1, Bozeman, MT 59718-6518 2007-02-22
1811062870 Advanced Neurology Specialists Pllc Psychiatry & Neurology 400 15th Ave S Ste 206, Great Falls, MT 59405-4375 2006-11-22
1629150123 Stuart Neil Kieran Psychiatry & Neurology 1019 W Main St, Hamilton, MT 59840-2333 2006-10-20
1750325692 Roger S. Williams Psychiatry & Neurology 120 Poly Dr, Suite 201, Billings, MT 59101-0136 2006-06-14
1518913250 Bret D Lindsay Psychiatry & Neurology 200 Commons Way Ste C, Kalispell, MT 59901-1915 2006-05-25
1093774887 Joshua Aaron Knappenberger Psychiatry & Neurology 931 Highland Blvd Ste 3260, Bozeman, MT 59715-6907 2006-03-21
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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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