MEDICAL DEVELOPMENT CORPORATION (NPI# 1528435542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528435542 |
| Entity Type | Organization |
| Organization Name | MEDICAL DEVELOPMENT CORPORATION |
| Practice Address |
111 Sunnyview Lane, Ste B Kalispell MT 59901-5709 |
| Mailing Address |
111 Sunnyview Ln Suite B Kalispell MT 59901-3164 |
| Practice Telephone | 4064077990 |
| Mailing Telephone | 4067523597 |
| Mailing Fax Number | 4067567605 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | PATRICK A GULICK (OWNER) |
| Authorized Official Telephone | 4064077990 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MEDICAL DEVELOPMENT CORPORATION | Po Box 16086, Slt Lk Cty, UT 84116 |
| Street Address |
111 SUNNYVIEW LANE, STE B |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174703938 | Sara M Ericksen | Physical Therapist | 111 Sunnyview Lane, Ste B, Kalispell, MT 59901-3161 | 2007-11-09 |
| 1528620515 | Shelby Lynn Erdahl | Physical Therapist | 111 Sunnyview Lane, Ste B, Kalispell, MT 59901-2977 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916589 | Rachael Marie Alsbury | Nurse Practitioner | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2018-09-21 |
| 1760827315 | Ellen M Kirschbaum | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1265078455 | Brandi Lynn Knierim | Nurse Practitioner | 24 Newton Ave, Glasgow, MT 59230 | 2019-11-21 |
| 1942787379 | Martha Laskos | Nurse Practitioner | 19300 Pond Rd, Frenchtown, MT 59834-9637 | 2018-07-28 |
| 1215015409 | Patricia Ann Kelly | Nurse Practitioner | 5 4th Ave. E, Polson, MT 59860 | 2006-11-02 |
| 1336702703 | Courtney Lee Funderburk | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2019-04-20 |
| 1356820328 | Progressive Health Solutions | Nurse Practitioner | 605 S 1st St, Hamilton, MT 59840-2812 | 2018-08-10 |
| 1659887412 | Sarah Helen Sentz | Nurse Practitioner | 16 Railway Ave, Box 1078, Three Forks, MT 59752-5975 | 2017-12-15 |
| 1134642036 | Nancy M Branch | Nurse Practitioner | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2017-07-23 |
| 1114463809 | Kinsey Fisher | Nurse Practitioner | 1101 S 3rd St W, Suite 101, Missoula, MT 59801-2321 | 2017-01-18 |
| 1134501117 | Maria Mcneil Williams | Nurse Practitioner | 6 13th Ave E, Polson, MT 59860-5315 | 2015-06-25 |
| 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.