DR. JARRED MCDANIEL (NPI# 1295997344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295997344 |
Entity Type | Individual |
Full Name | DR. JARRED MCDANIEL |
Credential | M.D. |
Practice Address |
300 N Willson Ave Suite 300c Bozeman MT 59715-3551 |
Mailing Address |
Po Box 10095 Bozeman MT 59719-0095 |
Practice Telephone | 4065772346 |
Practice Fax Number | 8664048715 |
Mailing Telephone | 4065772346 |
Mailing Fax Number | 8664048715 |
Enumeration Date | 2008-06-30 |
Last Update Date | 2017-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | 27907 | MT | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
27907 | MT | Allopathic & Osteopathic Physicians |
Street Address |
300 N WILLSON AVE SUITE 300C |
City | BOZEMAN |
State | MT |
Zip Code | 59715-3551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205824448 | Lisa A Herrygers | Ophthalmology | 300 N Willson Ave, Ste 1003, Bozeman, MT 59715-3551 | 2005-10-12 |
1770195752 | Paige Hillman | Speech-Language Pathologist | 300 N Willson Ave, Bozeman, MT 59715-3551 | 2020-08-20 |
1134630262 | Adam C Jurick | Counselor | 300 N Willson Ave, Bozeman, MT 59715 | 2017-10-16 |
1134642374 | Marlisa Ann Papp | Counselor | 300 N Willson Ave, Basement, Suite E, Bozeman, MT 59718 | 2017-07-19 |
1255788592 | Gallatin Plastic Surgery, Pllc | Clinic/Center | 300 N Willson Ave, Suite 300c, Bozeman, MT 59715-3551 | 2016-05-17 |
1801241963 | Erin Nicole Clark | Social Worker | 300 N Willson Ave, Suite 3005-10, Bozeman, MT 59715-3551 | 2016-04-26 |
1730550021 | Karlee Haus | Nurse Practitioner | 300 N Willson Ave, #2001, Bozeman, MT 59715-3551 | 2015-10-12 |
1972972180 | Susan J Dolan | Physician Assistant | 300 N Willson Ave, Ste 2001, Bozeman, MT 59715-3572 | 2015-09-17 |
1275958282 | Stephen Freeman | Hearing Instrument Specialist | 300 N Willson Ave, Suite 3005-5, Bozeman, MT 59715-3551 | 2014-02-27 |
1215278072 | Jennifer E Wilshire | Physical Therapist | 300 N Willson Ave, Suite 105a, Bozeman, MT 59715-3551 | 2013-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
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 |
---|---|---|---|---|
1396978904 | Edward H Fenstermacher | Surgery | 7211 Jackson Creek Rd, Bozeman, MT 59715-9610 | 2009-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659699148 | Vincent G Laurence | Surgery | 900 N Orange St Ste 205, Missoula, MT 59802-2951 | 2010-05-10 |
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 |
1235188046 | Northwest Plastic Surgery Associates, Pllc | Surgery | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2006-05-09 |
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 |
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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.