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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
6749 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0088049 | 05 |
Street Address |
2835 FORT MISSOULA RD STE 203 |
City | MISSOULA |
State | MT |
Zip Code | 59804-7423 |
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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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 Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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 |
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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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.