DR. JEFFREY S RASCH (NPI# 1598717662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598717662 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY S RASCH |
| Credential | DO |
| Practice Address |
536 Cottonwood Rd Suite 100 Bozeman MT 59718 |
| Practice Telephone | 4065868029 |
| Practice Fax Number | 4065868009 |
| Mailing Telephone | 4065868029 |
| Mailing Fax Number | 4065868009 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 57672501204 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
11792 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS OF MONTANA | 0000093458 | 01 |
| UT | 807165900 | 05 | |
| UT | DMBA GRP 22 | 903343 | 01 |
| UT | ALTIUS GRP 22 | QM0000025083 | 01 |
| UT | BCBS GRP 22 | 57672501200001 | 01 |
| UT | PEHP GRP 22 | 84422 | 01 |
| UT | U HEALTH PLANS GRP22 | 90080 | 01 |
| UT | 100506339 | 05 | |
| UT | 0143327 | 05 | |
| UT | 121126900 | 05 | |
| UT | D6127 | 05 |
| Street Address |
536 COTTONWOOD RD SUITE 100 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159944 | Mark C Deibert | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2005-07-26 |
| 1033558887 | Alpine Orthopedics | Physician Assistant | 536 Cottonwood Rd, Bozeman, MT 59718 | 2013-06-14 |
| 1215205182 | Jessica Ann Pelton | Physician Assistant | 536 Cottonwood Rd, #100, Bozeman, MT 59718 | 2011-12-07 |
| 1518185982 | Peter M Kelleher | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2007-04-23 |
| 1083626832 | Alpine Orthopedics & Sports Medicine | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2006-08-12 |
| 1922008374 | Timothy O'brien | Orthopaedic Surgery | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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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.