BENEFIS HEALTHCARE PRACTITIONERS (NPI# 1659408326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659408326 |
| Entity Type | Organization |
| Organization Name | BENEFIS HEALTHCARE PRACTITIONERS |
| Other Organization Name | PRIMARY CARE PEDIATRICS |
| Practice Address |
400 13th Ave S Suite 203 Great Falls MT 59405-4300 |
| Mailing Address |
P.o. Box 6010 Great Falls MT 59405-5178 |
| Practice Telephone | 4067270590 |
| Practice Fax Number | 4064552815 |
| Mailing Telephone | 4064554470 |
| Mailing Fax Number | 4062680084 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | DANIEL J. REINER (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 4064554470 |
| Authorized Official Credential | C |
| Is Organization Subpart | Y |
| Parent Organization Name | BENEFIS HEALTHCARE PRACTITIONERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | 8796 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1659408326 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Care Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831344688 | Benefis Healthcare Practitioners | Pediatrics | 1101 26th St S, Great Falls, MT 59405-5161 | 2008-11-20 |
| 1487822581 | Benefis Healthcare Practitioners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 28th St S, Suite 1, Great Falls, MT 59405-5296 | 2008-02-12 |
| 1255519591 | Benefis Healthcare Practitioners | Family Medicine | 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | 2008-02-08 |
| 1356457204 | Benefis Healthcare Practitioners | Internal Medicine | 1300 28th St S, Suite 4, Great Falls, MT 59405-5296 | 2006-08-22 |
| 1104845544 | Benefis Healthcare Practitioners | Urology | 2800 11th Ave S, Suite 14, Great Falls, MT 59405-5263 | 2006-07-18 |
| 1477584175 | Benefis Healthcare Practitioners | Radiology | 1117 29th St S, Great Falls, MT 59405-5306 | 2006-07-05 |
| 1184650855 | Benefis Healthcare Practitioners | Internal Medicine | 1300 28th St S, Suite 10, Great Falls, MT 59405-5296 | 2006-06-24 |
| Street Address |
400 13TH AVE S SUITE 203 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966595 | Elizabeth Rose Smith | Genetic Counselor, MS | 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 | 2005-10-13 |
| 1750816237 | Casey Elizabeth Barker | Nurse Practitioner | 400 13th Ave S, Great Falls, MT 59405-4300 | 2017-04-21 |
| 1497162333 | Courtney Forde Crouch | Nurse Practitioner | 400 13th Ave S, Great Falls, MT 59405-4300 | 2014-07-11 |
| 1689909566 | Nicole Leigh Wellman Donester | Dermatology | 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | 2009-10-09 |
| 1437337706 | Great Falls Ent | Otolaryngology | 400 13th Ave S, Suite 105, Great Falls, MT 59405-4300 | 2008-02-08 |
| 1255519591 | Benefis Healthcare Practitioners | Family Medicine | 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | 2008-02-08 |
| 1972703478 | Benefis Heatlhcare Practitioners | Surgery | 400 13th Ave S, Suite 101, Great Falls, MT 59405-4300 | 2007-07-23 |
| 1073658084 | Great Falls Surgical Associates | Surgery | 400 13th Ave S, Ste 102, Great Falls, MT 59405 | 2007-02-20 |
| 1801949722 | Dale R Mortenson | Surgery | 400 13th Ave S, Suite 102 Great Falls Surgical Associates, Great Falls, MT 59405-4300 | 2007-01-22 |
| 1750434676 | Chad M Engan | Surgery | 400 13th Ave S, Suite 102 Great Falls Surgical Associates, Great Falls, MT 59405-4300 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932272077 | Jill Denise Bolstad | Pediatrics | 25 14th Ave Nw, Great Falls, MT 59404-1954 | 2006-11-16 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1063444396 | Joy Christine Burk | Pediatrics | 401 15th Ave S Ste 201, Great Falls, MT 59405-4334 | 2006-07-07 |
| 1598228355 | Benefis Hospitals, Inc. | Pediatrics | 1300 28th Street South, Pediatrics, Great Falls, MT 59405 | 2019-04-09 |
| 1174973853 | Elizabeth S Farnsworth | Pediatrics | 1400 29th St S, Great Falls, MT 59405-5315 | 2016-06-14 |
| 1588044630 | Paul Meiners | Pediatrics | 1600 Division Rd, Great Falls, MT 59404 | 2015-06-04 |
| 1518301548 | Marina Lynn Wilson | Pediatrics | 1101 26th St S, Great Falls, MT 59405-5161 | 2013-04-22 |
| 1598108433 | Rachel E Amthor | Pediatrics | 1300 28th St S Ste 6, Great Falls, MT 59405-5296 | 2013-04-10 |
| 1093007452 | Jordan Lejeune | Pediatrics | 1101 26th St S, Great Falls, MT 59405-5161 | 2011-05-04 |
| 1881984227 | Emily Grant | Pediatrics | 1300 28th St S, Great Falls, MT 59405-5296 | 2011-04-19 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.