DR. CHARLES BURTON SEVERN


Address: 160 Mountain Meadows Lane, Big Sky, MT 59716-0403
Phone: 4069954932

DR. CHARLES BURTON SEVERN (NPI# 1477805588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477805588
Entity Type Individual
Full Name DR. CHARLES BURTON SEVERN
Credential M.D. PHD.
Practice Address 160 Mountain Meadows Lane
Big Sky
MT 59716-0403
Mailing Address P.o. Box 160403
Big Sky
MT 59716-0403
Practice Telephone 4069954932
Mailing Telephone 4069954932
Enumeration Date 2012-10-12
Last Update Date 2012-10-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
5198 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT MEDICAL LICENSE 5198 01

Office Location

Street Address 160 MOUNTAIN MEADOWS LANE
City BIG SKY
State MT
Zip Code 59716-0403

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295285211 Kaley Burns Naturopath 223 Town Center Avenue, Unit A-5, Big Sky, MT 59716 2016-10-13
1184914533 Big Sky Speech Therapy LLC Clinic/Center 100 Spruce Cone Dr., Unit 46, Big Sky, MT 59716 2011-04-19
1649416298 Ryan Burfeind Pharmacist 334 Town Center Avenue, Big Sky, MT 59716 2009-01-04
1770789323 Jesse Coil Emergency Medicine 11 Lone Peak Dr, Suite 202, Big Sky, MT 59716 2007-06-21
1972625275 Big Sky Fire Department Emergency Medical Technician, Paramedic 650 Rainbow Trout Run (station 1), Big Sky, MT 59716 2007-04-06
1477678969 Lone Peak Physical Therapy Inc. Occupational Therapist 32 Market Place, Big Sky, MT 59716 2007-03-21
1265597348 Jeff Saad Chiropractor 2815 Aspen Drive, 6, Big Sky, MT 59716 2006-12-27
1598847444 John C Boersma Physical Therapist 495 Little Coyote Rd, Big Sky, MT 59716 2006-10-19
1407938350 Joshua D Green Physical Therapist 795 Little Coyote Rd, Big Sky, MT 59716 2006-10-19
1114028735 Philip Alan Hess Family Medicine 334 Town Center Drive, Big Sky Medical Center, Big Sky, MT 59716 2006-09-26
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215472915 Steven Jesse Pediatrics 285 Bates Rd, Manhattan, MT 59741-8651 2017-01-04
1306809520 Evelyn Peterson Pediatrics 350 Sunnyview Ln, Kalispell, MT 59901-3129 2006-04-10
1346218906 John Patrick Harvey Pediatrics 350 Sunnyview Lane, Kalispell, MT 59901 2006-03-09
1215337837 Namrita Jain Odackal Pediatrics 1233 N 30th St, Billings, MT 59101 2014-09-02
1326364902 Jayson Vincent Singson Lingan Pediatrics 1101 26th St S, Great Falls, MT 59405-5161 2010-04-08
1831344688 Benefis Healthcare Practitioners Pediatrics 1101 26th St S, Great Falls, MT 59405-5161 2008-11-20
1285880278 Cynthia Santos-ocampo Padilla Pediatrics 1101 26th St S, Great Falls, MT 59405-5161 2008-08-11
1609090174 Sarah Roos Kenney Pediatrics 1101 26th St S, Great Falls, MT 59405-5161 2007-04-13
1255464046 Nadine Claudia Seger Pediatrics 2800 10th Ave N, Billings, MT 59101 2007-03-13
1497835482 Diane Duvall Warner Pediatrics 937 Highland Blvd, Bozeman, MT 59715-6909 2006-10-16
Find all providers with the same taxonomy

Competitor

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City BIG SKY
Zip Code 59716

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Dataset Information

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.

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