THE ORTHOPEDIC CENTER OF MONTANA AMBULATORY SURGERY CENTER, LLC (NPI# 1376876094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376876094 |
| Entity Type | Organization |
| Organization Name | THE ORTHOPEDIC CENTER OF MONTANA AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
1401 25th St S Great Falls MT 59405 |
| Practice Telephone | 4064553650 |
| Practice Fax Number | 4064553695 |
| Mailing Telephone | 4064553650 |
| Mailing Fax Number | 4064553695 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | MICHAEL A DUBE (ASC/PRESIDENT) |
| Authorized Official Telephone | 4064553692 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1401 25TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| 1104459718 | Katie Grace Smyth | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2020-02-21 |
| 1962973776 | Blanche Stutz | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-12-06 |
| 1457828337 | Zale Kaupish | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-10-29 |
| 1245722735 | Jordan Elizabeth Hronek | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-05-31 |
| 1164932000 | Alyissa H Canady | Pharmacist | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-10-05 |
| 1417466327 | Margaret Janelle Davenport | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-22 |
| 1588183321 | Andrew Koopman | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-13 |
| 1306364724 | Noelle Marie-lynn Steiner | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-06 |
| 1982121760 | Melanie Marie Brown | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-08-23 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251327 | Great Falls Clinic Surgery Center LLC | Clinic/Center | 1509 29th St S, Great Falls, MT 59405-5363 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1760836167 | Yellowstone Surgery Center LLC | Clinic/Center | 1739 Spring Creek Dr, Billings, MT 59102-6747 | 2016-04-21 |
| 1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
| 1508163700 | Orthopaedic Neuro Institute Surgical Center, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 100, Billings, MT 59102 | 2011-02-24 |
| 1265645311 | Summit Surgery Center, LLC | Clinic/Center | 434 South Clark Street, Butte, MT 59701 | 2007-05-07 |
| 1770676447 | Summit Surgery Center LLC | Clinic/Center | 434 South Clark St., Butte, MT 59701-2836 | 2006-10-02 |
| 1487684213 | Same Day Surgery Center | Clinic/Center | 300 North Willson, Ste 600f, Bozeman, MT 59715 | 2006-07-04 |
| 1639158645 | Big Sky Surgery Center, LLC | Clinic/Center | 2833 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-01-10 |
| 1841275211 | Helena Surgicenter, LLC | Clinic/Center | 2440 Winne Ave, Suite 100, Helena, MT 59601-4905 | 2005-12-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on THE ORTHOPEDIC CENTER OF MONTANA AMBULATORY SURGERY CENTER, LLC.
| 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.