MADELINE GRACE MUSSMAN (NPI# 1720431729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720431729 |
| Entity Type | Individual |
| Full Name | MADELINE GRACE MUSSMAN |
| Credential | DO |
| Practice Address |
1037 Main St Corvallis MT 59828-9004 |
| Practice Telephone | 4069614661 |
| Mailing Telephone | 4069614661 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 62786 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1037 MAIN ST |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003076639 | Nicolett M Weston | Nurse Practitioner | 1037 Main St, Corvallis, MT 59828-9374 | 2008-06-17 |
| 1841495512 | April L Weinberger | Family Medicine | 1037 Main St, Corvallis, MT 59828-9374 | 2007-06-20 |
| 1124073341 | Yvonne K Courchesne | Family Medicine | 1037 Main St, Corvallis, MT 59828-9374 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891080529 | Corvallis Physical Therapy, PC | Clinic/Center | 1050 Eastside Hwy, Corvallis, MT 59828 | 2011-06-10 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
| 1093870560 | Corvallis Drug Inc | Durable Medical Equipment & Medical Supplies | 1029 Main Street, Corvallis, MT 59828-0009 | 2006-12-26 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
| 1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
| 1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
| 1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
| Find all providers in zip 59828 | ||||
| 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 |
|---|---|---|---|---|
| 1184094849 | Brian Lantos | Family Medicine | 1235 Nw 11th St, Corvallis, OR 97330-4616 | 2015-10-06 |
| 1437586765 | Erandhi Nirasha Hall | Family Medicine | 3620 Nw Samaritan Dr # 203a, Corvallis, OR 97330-4714 | 2013-10-01 |
| 1427323690 | Good Samaritan Hospital Corvallis | Family Medicine | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | 2012-03-20 |
| 1346514015 | Good Samaritan Hospital Corvallis | Family Medicine | 3517 Nw Samaritan Drive Suite 201, Corvallis, OR 97330-3769 | 2012-02-28 |
| 1932378486 | Good Samaritan Hospital Corvallis | Family Medicine | 990 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1967 | 2008-02-28 |
| 1215117692 | Good Samaritan Hospital Corvallis | Family Medicine | 2555 Ne Belvue St, Corvallis, OR 97330 | 2007-11-14 |
| 1477612687 | Norman W Castillo | Family Medicine | 1763 Nw Kings Blvd, Corvallis, OR 97330-1905 | 2006-12-06 |
| 1124103445 | Ladonna Mae Johnson | Family Medicine | 201 Plageman Bldg, Oregon State University - Student Health, Corvallis, OR 97331-5801 | 2006-10-26 |
| 1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
| 1093818684 | Gael Anne Wheeler | Family Medicine | 2743 Nw 9th St, Corvallis, OR 97330-3857 | 2006-09-07 |
| Find all providers in CORVALLIS | ||||
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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.