MRS. HEATHER E MADDOX (NPI# 1578558094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578558094 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER E MADDOX |
| Credential | M.D. |
| Practice Address |
500 W. Broadway Missoula MT 59802-4003 |
| Mailing Address |
P.o. Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Practice Fax Number | 4067213907 |
| Mailing Telephone | 4067215600 |
| Mailing Fax Number | 4067213907 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11962 | MT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101231026 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010003105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981512 | Heather J Maddox | Nurse Anesthetist, Certified Registered | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2018-11-14 |
| Street Address |
500 W. BROADWAY |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164651725 | Jennifer Kathryn Gibson-snyder | Internal Medicine | 500 W. Broadway, Providence Saint Patrick Hospital, Missoula, MT 59802-4008 | 2009-07-04 |
| 1669511606 | Casey J. Kolendich | Internal Medicine | 500 W. Broadway, Missoula, MT 59802-4008 | 2007-02-06 |
| 1669519930 | Melody Nelsen | Internal Medicine | 500 W. Broadway, Missoula, MT 59802-4008 | 2007-01-30 |
| 1861548471 | Ashley Mays | Internal Medicine | 500 W. Broadway, Missoula, MT 59802-4008 | 2007-01-26 |
| 1497868335 | Providence Health & Services Mt | Emergency Medicine | 500 W. Broadway, Missoula, MT 59802-4008 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
| 1861889024 | Andrew Scott Stritzke | Family Medicine | 2831 Fort Missoula Rd, Buidling 2, Ste 146, Missoula, MT 59804-7401 | 2015-04-24 |
| 1205084167 | Robert Franklin Stanchfield | Family Medicine | 77 Brookside Way, Missoula, MT 59802 | 2008-09-04 |
| 1144353707 | Sam A Wallace | Family Medicine | 341 W Pine St, Missoula, MT 59802-4119 | 2007-03-13 |
| 1639254709 | Timothy J Mccue | Family Medicine | 41 Wildground Ln, Missoula, MT 59802-3335 | 2006-10-26 |
| 1780769901 | Gregory D Hutton | Family Medicine | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2006-10-26 |
| 1568543106 | Harold Mark Coward | Family Medicine | 3700 S Russell St Ste 115, Missoula, MT 59801-8579 | 2006-10-18 |
| 1720171994 | Sandra Lauren Shepherd | Family Medicine | 2825 Fort Missoula Rd Ste 115, Missoula, MT 59804-7403 | 2006-10-02 |
| 1922106004 | James H Quirk Jr. | Family Medicine | 2230 North Reserve St, Missoula, MT 59808 | 2006-09-20 |
| Find all providers in MISSOULA | ||||
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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.