DR. CHARLES EVANS RECKSON (NPI# 1760419154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760419154 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EVANS RECKSON |
| Credential | M.D. |
| Practice Address |
267 Wilcox Ln Corvallis MT 59828-9466 |
| Mailing Address |
Po Box 2308 Hamilton MT 59840-4308 |
| Practice Telephone | 4063634395 |
| Mailing Telephone | 4063634395 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10246 | MT | Other Service Providers |
| Street Address |
267 WILCOX LN |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828-9466 |
| 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 |
| 1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
| 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 |
| Find all providers in zip 59828 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454392 | Assistive Learning Technology Consulting LLC | Specialist | 918 Nw Raintree Dr, Corvallis, OR 97330-9769 | 2018-10-31 |
| 1568814127 | Nora Virginia Richards | Specialist | 910 Nw 26th St, Corvallis, OR 97330-4327 | 2016-07-07 |
| 1154732469 | Jill Popowski | Specialist | 305 Sw C Ave Ste 1, Corvallis, OR 97333-4400 | 2014-05-09 |
| 1922354802 | Judy Marie Veary Powers | Specialist | 3730 Nw Jackson Ave, Corvallis, OR 97330-4946 | 2012-07-30 |
| 1295090157 | Karisa Boyce | Specialist | 2151 Nw Fillmore Ave, Corvallis, OR 97330-5624 | 2012-07-06 |
| 1881820553 | Mary Jane Kennel | Specialist | 990 Nw Circle Blvd Ste 201, Corvallis, OR 97330-1410 | 2009-06-08 |
| 1265633929 | Roxann Lee Weger | Specialist | 2155 Nw Evergreen St, Corvallis, OR 97330-1109 | 2007-05-30 |
| 1184781825 | Rebecca M Swiff | Specialist | 525 Nw 2nd St Ste 1, Corvallis, OR 97330-6487 | 2007-01-02 |
| 1326105040 | Clara A Bozievich | Specialist | 975 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2297 | 2007-01-02 |
| 1851458590 | Wendy E Shumway | Specialist | 1600 Sw Western Blvd Ste 330, Corvallis, OR 97333-4082 | 2007-01-02 |
| 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.