ALAN A WANDERER (NPI# 1386633220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386633220 |
| Entity Type | Individual |
| Full Name | ALAN A WANDERER |
| Credential | MD |
| Practice Address |
2055 N 22nd Ave Ste 1 Bozeman MT 59718-2783 |
| Practice Telephone | 4065821111 |
| Practice Fax Number | 4065821112 |
| Mailing Telephone | 4065821111 |
| Mailing Fax Number | 4065821112 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 8795 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0143752 | 05 |
| Street Address |
2055 N 22ND AVE STE 1 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972706950 | Bryan Marshall Beebe | Dentist | 2055 N 22nd Ave, Suite 3, Bozeman, MT 59718-2783 | 2007-06-07 |
| 1629090758 | Allergy and Asthma Consultants of Montana, Pllc | Specialist | 2055 N 22nd Ave, Suite 1, Bozeman, MT 59718-2783 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316999824 | Michael C Zacharisen | Allergy & Immunology | 4265 Fallon St Ste 3a, Bozeman, MT 59718-6797 | 2006-05-16 |
| 1720083173 | Michael C Dicello | Allergy & Immunology | 1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290 | 2005-06-14 |
| 1619347390 | Bozeman Health Deaconess Hospital | Allergy & Immunology | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629208772 | Montana Allergy, Pllc | Allergy & Immunology | 2900 12th Ave. N, #302e, Billings, MT 59101-7515 | 2009-07-23 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| 1073642831 | Maciej Tomaszewski | Allergy & Immunology | 1020 No 27th St, #315, Billings, MT 59101 | 2007-03-05 |
| 1073605200 | Carl Edward Thornblade | Allergy & Immunology | 2801 Great Northern Loop, Suite 101, Missoula, MT 59808-1745 | 2006-09-28 |
| 1831126747 | Donald Nevin Gillespie | Allergy & Immunology | 610 W Spruce St, Missoula, MT 59802-4009 | 2006-06-27 |
| 1447244454 | Mary Irene B Feria | Allergy & Immunology | 430 Windward Way, Suite 100, Kalispell, MT 59901-2619 | 2005-09-06 |
| 1942820295 | United Immunology and Allergy LLC | Allergy & Immunology | 420 1st St E, Polson, MT 59860-2106 | 2020-04-16 |
| 1144512096 | Juan Armando Adams | Allergy & Immunology | 801 N 29th St, Billings, MT 59101-0905 | 2011-05-11 |
| 1083882187 | Montana Allergy and Asthma Spec | Allergy & Immunology | 2900 12th Ave N, #302e, Billings, MT 59101 | 2008-02-12 |
| 1194927293 | Summer Elizabeth Monforte | Allergy & Immunology | 2550 E Broadway St, Helena, MT 59601-4905 | 2007-06-01 |
| 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.