DR. KIMBERLY BLAKESLEE (NPI# 1659327609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659327609 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY BLAKESLEE |
| Other Name | MRS. KIMBERLY RAVITZ |
| Credential | D.O. |
| Practice Address |
2230 N Reserve St Suite 402 Missoula MT 59808-1321 |
| Mailing Address |
2827 Fort Missoula Rd Missoula MT 59804-7408 |
| Practice Telephone | 4067210533 |
| Practice Fax Number | 4067284463 |
| Mailing Telephone | 4067284100 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9618 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| Street Address |
2230 N RESERVE ST SUITE 402 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023470994 | Mary Sinamon | Pharmacist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2016-03-22 |
| 1780921908 | Katie Erin Giammona | Pharmacist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2013-01-08 |
| 1144408022 | Northgate Primary Care | Clinic/Center | 2230 N Reserve St, Missoula, MT 59808-1321 | 2008-02-04 |
| 1265659239 | Jeffrey Scot Adams | Family Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-04-19 |
| 1629111992 | First Care Northgate | Specialist | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-02-15 |
| 1912055492 | Phyllis Sapienza | Internal Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2007-01-08 |
| 1083710495 | Frederick Tai | Internal Medicine | 2230 N Reserve St, Missoula, MT 59808-1321 | 2006-09-15 |
| 1437105087 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 2230 N Reserve St, Missoula, MT 59808-1321 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| 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.