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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
5198 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | MEDICAL LICENSE | 5198 | 01 |
Street Address |
160 MOUNTAIN MEADOWS LANE |
City | BIG SKY |
State | MT |
Zip Code | 59716-0403 |
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 |
Find all providers in zip 59716 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
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. |
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 |
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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.