PAUL BACH (NPI# 1649227059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649227059 |
| Entity Type | Individual |
| Full Name | PAUL BACH |
| Credential | PHD |
| Practice Address |
900 N Orange St Third Floor Missoula MT 59802-2998 |
| Mailing Address |
87 Schoolhouse Rd Bloomsburg PA 17815-9569 |
| Practice Telephone | 4063273350 |
| Practice Fax Number | 4063273396 |
| Mailing Telephone | 5703172694 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 136 | MT | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016937 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0490569 | 05 |
| Street Address |
900 N ORANGE ST THIRD FLOOR |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215221 | Ruth M West | Physician Assistant | 900 N Orange St, Suite #207, Missoula, MT 59802-2998 | 2005-06-15 |
| 1346859931 | Dylan Pryor | Social Worker | 900 N Orange St, Missoula, MT 59802-2998 | 2020-07-29 |
| 1518421486 | Melissa Cotter | Registered Nurse | 900 N Orange St, Missoula, MT 59802-2998 | 2019-01-24 |
| 1366914335 | Maile Christine Macaluso | Registered Nurse | 900 N Orange St, Missoula, MT 59802-2998 | 2019-01-01 |
| 1891270831 | Anna Fagan | Registered Nurse | 900 N Orange St, Missoula, MT 59802-2998 | 2018-09-26 |
| 1679056006 | Shane P Julius | Community Health Worker | 900 N Orange St, Missoula, MT 59802-2998 | 2018-09-11 |
| 1811491160 | Caroline Chesbro | Community Health Worker | 900 N Orange St, Missoula, MT 59802-2998 | 2018-03-21 |
| 1225572936 | Brianna Dorothy Hobbs | Registered Nurse | 900 N Orange St, Missoula, MT 59802-2998 | 2016-12-14 |
| 1649712415 | Elizabeth Pecora | Registered Nurse | 900 N Orange St, Suite 103, Missoula, MT 59802-2998 | 2016-11-10 |
| 1952853624 | Kristin Billingsley Toney | Nurse Practitioner | 900 N Orange St, Suite 102, Missoula, MT 59802-2998 | 2016-10-28 |
| Find all providers in the same location | ||||
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164760237 | Bryan Neil Cochran | Psychologist | Sb143 Dept of Psychology, Missoula, MT 59812-0001 | 2013-01-24 |
| 1639373939 | M.j.h.h., Inc. | Psychologist | 445 S 5th St W, Missoula, MT 59801-2619 | 2007-06-12 |
| 1013110113 | Janet P. Wollersheim | Psychologist | 1900 Brooks St, Missoula, MT 59801-6644 | 2007-06-06 |
| 1861694119 | Ammons Psychological Services, Pllc | Psychologist | 2831 Fort Missoula Rd Ste 201, Physicians' Center #2, Missoula, MT 59804-7401 | 2007-05-31 |
| 1245357177 | Nadine M. Wisniewski | Psychologist | 27 Fort Missoula Rd, Ste B4, Missoula, MT 59804-7206 | 2007-03-24 |
| 1841324738 | Craig Harold Ravesloot | Psychologist | 101 E Broadway St Ste 310, Missoula, MT 59802-4510 | 2007-03-15 |
| 1629127063 | Christine Fiore | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2007-01-08 |
| 1083778351 | David Schuldberg | Psychologist | 1444 Mansfield, (cpc), Missoula, MT 59812-1584 | 2006-12-21 |
| 1609942069 | Danette M Wollersheim | Psychologist | 129 W Kent Ave, Ste I, Missoula, MT 59801-6730 | 2006-11-28 |
| 1790855443 | Cindy L Miller | Psychologist | 1805 Bancroft, Ste I, Missoula, MT 59801 | 2006-11-09 |
| 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.