GREAT FALLS ENT (NPI# 1437337706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437337706 |
| Entity Type | Organization |
| Organization Name | GREAT FALLS ENT |
| Practice Address |
400 13th Ave S Suite 105 Great Falls MT 59405-4300 |
| Mailing Address |
2519 13th Ave S Great Falls MT 59405-5178 |
| Practice Telephone | 4064554470 |
| Practice Fax Number | 4062680084 |
| Mailing Telephone | 4064554470 |
| Mailing Fax Number | 4061680084 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MR. GUY THOMAS HAYTER (EXECTUIVE DIRECTOR) |
| Authorized Official Telephone | 4064554470 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENEFIS HEALTHCARE PRACTITIONERS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 11637 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
400 13TH AVE S SUITE 105 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966595 | Elizabeth Rose Smith | Genetic Counselor, MS | 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 | 2005-10-13 |
| 1750816237 | Casey Elizabeth Barker | Nurse Practitioner | 400 13th Ave S, Great Falls, MT 59405-4300 | 2017-04-21 |
| 1497162333 | Courtney Forde Crouch | Nurse Practitioner | 400 13th Ave S, Great Falls, MT 59405-4300 | 2014-07-11 |
| 1689909566 | Nicole Leigh Wellman Donester | Dermatology | 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | 2009-10-09 |
| 1255519591 | Benefis Healthcare Practitioners | Family Medicine | 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | 2008-02-08 |
| 1972703478 | Benefis Heatlhcare Practitioners | Surgery | 400 13th Ave S, Suite 101, Great Falls, MT 59405-4300 | 2007-07-23 |
| 1659408326 | Benefis Healthcare Practitioners | Pediatrics | 400 13th Ave S, Suite 203, Great Falls, MT 59405-4300 | 2007-02-28 |
| 1073658084 | Great Falls Surgical Associates | Surgery | 400 13th Ave S, Ste 102, Great Falls, MT 59405 | 2007-02-20 |
| 1801949722 | Dale R Mortenson | Surgery | 400 13th Ave S, Suite 102 Great Falls Surgical Associates, Great Falls, MT 59405-4300 | 2007-01-22 |
| 1750434676 | Chad M Engan | Surgery | 400 13th Ave S, Suite 102 Great Falls Surgical Associates, Great Falls, MT 59405-4300 | 2007-01-22 |
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| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518101443 | Brian R Thomas | Otolaryngology | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2009-04-22 |
| 1902003502 | Jeffrey Clinton Baker | Otolaryngology | 1401 25th St S, Great Falls, MT 59405-5183 | 2007-06-28 |
| 1659577898 | Montana Plastic Surgery Center | Otolaryngology | 1600 9th St S, Great Falls, MT 59405-4510 | 2007-06-25 |
| 1376765420 | David Kluge | Otolaryngology | 3000 15th Ave S, Great Falls Clinic Specialtiy Building, Great Falls, MT 59405-5240 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609210525 | David Zheng Cai | Otolaryngology | 2900 12th Ave N Ste 330w, Billings, MT 59101 | 2013-04-22 |
| 1629287727 | Neal Lawerance Rogers | Otolaryngology | 202 S Montana St, Butte, MT 59701-1646 | 2007-05-22 |
| 1184797771 | Billings Otolaryngology PC | Otolaryngology | 2900 12th Ave N Ste 290w, Billings, MT 59101-7501 | 2006-11-15 |
| 1487662334 | St Peters Hospital | Otolaryngology | 2525 Broadway, Suite 105 Helena Ear Nose and Throat Clinic, Helena, MT 59601 | 2006-08-04 |
| 1003843897 | Phillip A Gardner | Otolaryngology | 700 Wesy Kent, Missoula, MT 59801-4008 | 2006-06-27 |
| 1518936533 | Brennan Thomas Dodson | Otolaryngology | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-03-14 |
| 1841261492 | Sean Michael Demars | Otolaryngology | 2900 12th Ave N., Ste 330w, Billings, MT 59101-7590 | 2006-01-31 |
| 1720089675 | John A Schvaneveldt | Otolaryngology | 160 Heritage Way, Kalispell, MT 59901-3161 | 2005-08-02 |
| 1720346844 | Jonathan William Fowlkes | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-04-26 |
| 1205106234 | Thomas Clark Hoshaw | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-01-06 |
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| City | GREAT FALLS |
| Zip Code | 59405 |
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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.