SHANNON SETZER M.D.,P.C. (NPI# 1316188337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316188337 |
Entity Type | Organization |
Organization Name | SHANNON SETZER M.D.,P.C. |
Other Organization Name | BIG SKY DERMATOLOGY |
Practice Address |
1600 Ellis St Suite 3b Bozeman MT 59715-8807 |
Practice Telephone | 4065877546 |
Practice Fax Number | 4065855672 |
Mailing Telephone | 4065877546 |
Mailing Fax Number | 4065855672 |
Enumeration Date | 2009-03-20 |
Last Update Date | 2009-09-01 |
Authorized Official Name | SHANNON VOIRIN SETZER (PRESIDENT) |
Authorized Official Telephone | 4065877546 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 11661 | MT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Big Sky Dermatology | Doing Business As Name - Organization |
Street Address |
1600 ELLIS ST SUITE 3B |
City | BOZEMAN |
State | MT |
Zip Code | 59715-8807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295764751 | Dirk Erick Schenck | Counselor | 1600 Ellis St, Suite 1c, Bozeman, MT 59715-8837 | 2006-06-30 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
1710405824 | Mindset Bozeman PC | Clinic/Center | 205 Haggerty Ln Ste 150, Bozeman, MT 59715-8804 | 2017-09-08 |
1205386190 | Peak Health & Wellness LLC | Clinic/Center | 862 Harmon Stream Blvd, Suite 101, Bozeman, MT 59718-4091 | 2016-10-04 |
1336534239 | Travis Irish, Chiropractor | Clinic/Center | 333 Haggerty Ln Ste 4, Bozeman, MT 59715-1780 | 2015-03-30 |
1700060308 | Karl J Hapcic, Md, LLC | Clinic/Center | 2619 W College St, Bozeman, MT 59718-3934 | 2007-12-19 |
1588745103 | Alpine Physicians Health Center | Clinic/Center | 613 W Lamme St, Bozeman, MT 59715-3434 | 2006-10-18 |
1124625116 | Nutrition Under The Big Sky | Clinic/Center | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-10-03 |
1740817568 | Bozeman Chiropractic Clinic, LLC | Clinic/Center | 17 S 5th Ave, Bozeman, MT 59715-4443 | 2020-03-23 |
1750890232 | Bozeman Health Convenience Care, LLC | Clinic/Center | 1805 Oak St Ste 3, Bozeman, MT 59715-8735 | 2017-09-27 |
Find all providers in BOZEMAN |
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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.