BOZEMAN HEALTH DEACONESS HOSPITAL (NPI# 1427612845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427612845 |
| Entity Type | Organization |
| Organization Name | BOZEMAN HEALTH DEACONESS HOSPITAL |
| Practice Address |
935 Highland Blvd Ste 2200 Bozeman MT 59715-6915 |
| Mailing Address |
915 Highland Blvd Ste 2170 Bozeman MT 59715-6902 |
| Practice Telephone | 4064145700 |
| Mailing Telephone | 4064145552 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | BRAD K LUDFORD (CFO) |
| Authorized Official Telephone | 4064141036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bozeman Health Family Medicine Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955264 | Bozeman Health Deaconess Hospital | Pediatrics | 937 Highland Blvd Ste 5320, Bozeman, MT 59715-6916 | 2019-05-01 |
| 1710541131 | Bozeman Health Deaconess Hospital | Internal Medicine | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2019-05-01 |
| 1518521061 | Bozeman Health Deaconess Hospital | Physician Assistant | 206 Alaska Frontage Rd, Belgrade, MT 59714-7909 | 2019-04-30 |
| 1437529112 | Bozeman Health Deaconess Hospital | Emergency Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1336519024 | Bozeman Health Deaconess Hospital | Durable Medical Equipment & Medical Supplies | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1619347390 | Bozeman Health Deaconess Hospital | Allergy & Immunology | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-10-07 |
| 1104295864 | Bozeman Health Deaconess Hospital | General Acute Care Hospital | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-09-23 |
| 1740387661 | Bozeman Health Deaconess Hospital | Pharmacy | 925 Highland Blvd, Suite 2000, Bozeman, MT 59715-6900 | 2006-09-20 |
| Street Address |
935 HIGHLAND BLVD STE 2200 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556676 | Elizabeth Adrienne Stelz | Family Medicine | 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | 2006-06-13 |
| 1033586730 | Jonathan Prince Brigham | Psychiatry & Neurology | 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | 2015-08-28 |
| 1265526768 | Stephanie J Wolfe | Family Medicine | 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | 2006-10-02 |
| 1992813257 | Elaine Susan Samuel | Internal Medicine | 935 Highland Blvd Ste 2200, Bozeman, MT 59715-6915 | 2006-08-28 |
| 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 | 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 |
|---|---|---|---|---|
| 1922653484 | Logen Ross Nunberg | Family Medicine | 105 E Oak St Ste 1e, Bozeman, MT 59715-2978 | 2019-08-01 |
| 1275732430 | Barbara Ellen Prescott | Family Medicine | 3056 Farmall St, Bozeman, MT 59718-9448 | 2007-07-17 |
| 1437357126 | Hanly Burton | Family Medicine | 316 E Babcock, Bozeman, MT 59715 | 2007-07-05 |
| 1063621985 | Robert Owen Mcginnis | Family Medicine | 1575 W Kagy Blvd, Bozeman, MT 59715-6509 | 2007-05-21 |
| 1720205628 | Karen Joyce Reif | Family Medicine | Swingle Student Health Service 7th Ave. S., Montana St. University, Bozeman, MT 59717-3260 | 2007-04-20 |
| 1699896332 | Arnold Shapiro | Family Medicine | Swingle Student Health Service South 7th Ave., Msu, Bozeman, MT 59717 | 2007-04-02 |
| 1942361860 | Family Doctors Urgent Care LLC | Family Medicine | 120 North 19th, Suite A, Bozeman, MT 59718-3920 | 2006-12-13 |
| 1427119379 | Thomas Richard Goldsmith | Family Medicine | 10150 Cottonwood Road, Bozeman, MT 59718-8969 | 2006-12-13 |
| 1801962758 | Karen Louise Selin | Family Medicine | South Seventh Ave., Bozeman, MT 59717-3260 | 2006-11-24 |
| 1013082932 | Ita M Killeen | Family Medicine | Swingle Student Health Service South 7th Ave, Msu, Bozeman, MT 59715-3260 | 2006-11-24 |
| 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.