NORTHWEST PLASTIC SURGERY ASSOCIATES, PLLC (NPI# 1235188046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235188046 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PLASTIC SURGERY ASSOCIATES, PLLC |
| Practice Address |
2802 Great Northern Loop Missoula MT 59808-1738 |
| Practice Telephone | 4067283811 |
| Practice Fax Number | 4067219141 |
| Mailing Telephone | 4067283811 |
| Mailing Fax Number | 4067219141 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | STEPHEN P HARDY (OWNER) |
| Authorized Official Telephone | 4067283811 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9593 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
2802 GREAT NORTHERN LOOP |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164576146 | Laura Conway | Registered Nurse | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2007-01-23 |
| 1033263017 | Heidi Jenkins | Specialist/Technologist, Other | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2007-01-23 |
| 1790735058 | Stephen P Hardy | Surgery | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659699148 | Vincent G Laurence | Surgery | 900 N Orange St Ste 205, Missoula, MT 59802-2951 | 2010-05-10 |
| 1790735058 | Stephen P Hardy | Surgery | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396978904 | Edward H Fenstermacher | Surgery | 7211 Jackson Creek Rd, Bozeman, MT 59715-9610 | 2009-08-29 |
| 1730220286 | Steven Michael Grosso | Surgery | 2510 17th Street West, Billings, MT 59102 | 2007-02-09 |
| 1144275744 | Buchele Plastic Surgery, P.C. | Surgery | 40 Four Mile Dr, Suite 5, Kalispell, MT 59901-2655 | 2006-05-23 |
| 1457313082 | Michelle A Spring | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-04-06 |
| 1841814019 | Kalispell Regional Medical Center, Inc | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2020-06-03 |
| 1952727612 | Healthcenter Northwest, L.L.C. | Surgery | 60 Four Mile Dr, Suite 10, Kalispell, MT 59901-2663 | 2014-03-05 |
| 1952568065 | Sarah Elizabeth Evans | Surgery | 2525 E Broadway St, Helena, MT 59601-8049 | 2008-05-19 |
| 1972725182 | Billings Plastic Surgery PC | Surgery | 2510 17th St W, Billings, MT 59102-1736 | 2007-05-03 |
| 1528108933 | Alan David Muskett | Surgery | 2510 17th St W, Billings, MT 59102-1736 | 2007-02-07 |
| 1679659866 | Roger G Brown | Surgery | 1297 Burns Way, Suite 1, Kalispell, MT 59901 | 2006-10-31 |
| 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.