TAYLOR M LIES (NPI# 1225303159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225303159 |
| Entity Type | Individual |
| Full Name | TAYLOR M LIES |
| Credential | PA-C |
| Practice Address |
106 Ridgewater Dr Ste A Polson MT 59860-8977 |
| Practice Telephone | (406) 883-3200 |
| Practice Fax Number | 4068839483 |
| Mailing Telephone | 4068833200 |
| Mailing Fax Number | 4068839483 |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15504 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
106 RIDGEWATER DR STE A |
| City | POLSON |
| State | MT |
| Zip Code | 59860-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245269810 | Daniel P Rausch | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-07-03 |
| 1891321543 | Cindy Rae Young | Nurse Practitioner | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2020-03-13 |
| 1013485952 | Joshua Russell | Physician Assistant | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2018-11-08 |
| 1649627936 | Brittany Mae Mitchell Eppard | Nurse Practitioner | 106 Ridgewater Dr Ste A, Polson, MT 59860 | 2016-05-17 |
| 1528386802 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2010-05-11 |
| 1194949628 | Adam T Smith | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2007-04-13 |
| 1740342583 | Thomas Arthur Konen | Chiropractor | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-12-15 |
| 1285740290 | Terry A Smith | Emergency Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204988 | David Michael Neill | Physician Assistant | 310 South Sansome St., Philipsburg, MT 59858 | 2017-09-21 |
| 1528362159 | Carlye Bolstad | Physician Assistant | 3703 Harrison Ave Ste B, Butte, MT 59701-6897 | 2010-12-21 |
| 1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
| 1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
| 1205858867 | Brooke Kendra Schmidt | Physician Assistant | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
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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.