SUSAN H. AVERY, MD, PC (NPI# 1306177092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306177092 |
| Entity Type | Organization |
| Organization Name | SUSAN H. AVERY, MD, PC |
| Practice Address |
401 15th Ave S Ste 110 Great Falls MT 59405-4334 |
| Practice Telephone | 4067612399 |
| Practice Fax Number | 4067611992 |
| Mailing Telephone | 4067612399 |
| Mailing Fax Number | 4067611992 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | SUSAN HOPPOCK AVERY (PRESIDENT) |
| Authorized Official Telephone | 4067612399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3884 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
401 15TH AVE S STE 110 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916991 | Great Falls Medical Center, LLC | Family Medicine | 1142 Walker Rd Ste C, Great Falls, VA 22066-1836 | 2013-03-25 |
| 1023389673 | Samuel Vladimir Boor | Family Medicine | 15 Trapper Valley Rd, Great Falls, MT 59405-8126 | 2012-01-13 |
| 1811013345 | Initialcare Plus, Pllc | Family Medicine | 125 Northwest Byp, Great Falls, MT 59404-4141 | 2007-03-22 |
| 1568540516 | Patsy M Vargo | Family Medicine | 3511 1st Ave N Ste 1, Great Falls, MT 59401-3527 | 2006-11-01 |
| 1932287463 | Jennifer Cruise | Family Medicine | 2517 7th Ave S Ste B3, Great Falls, MT 59405-3033 | 2006-11-01 |
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1073543229 | Marcus A. Johnson | Family Medicine | 2201 Sun River Rd, Great Falls, MT 59404 | 2006-07-04 |
| 1285660514 | Jodi L Weisser Violett | Family Medicine | 401 15th Ave S #201, Great Falls, MT 59405-4334 | 2006-06-26 |
| 1639105968 | Lyle J Onstad | Family Medicine | 401 15th Avenue South, Suite 201, Great Falls, MT 59405-4396 | 2006-06-26 |
| 1083662233 | Loy L Anderson | Family Medicine | 1600 Division Road, Great Falls, MT 59404 | 2006-05-04 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on SUSAN H. AVERY, MD, PC.
| 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.