GREAT DIVIDE RADIOLOGY, PLLP (NPI# 1760708382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760708382 |
| Entity Type | Organization |
| Organization Name | GREAT DIVIDE RADIOLOGY, PLLP |
| Practice Address |
2475 E Broadway St Helena MT 59601-4928 |
| Mailing Address |
Po Box 7777 Helena MT 59604-7777 |
| Practice Telephone | 4064594060 |
| Practice Fax Number | 4064490880 |
| Mailing Telephone | 4064594060 |
| Mailing Fax Number | 4064490880 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |
| Authorized Official Name | MR. DENNIS PATRICK MCSWEENEY (BUSINESS MANAGER) |
| Authorized Official Telephone | 4064594060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MT | Other Service Providers |
| Street Address |
2475 E BROADWAY ST |
| City | HELENA |
| State | MT |
| Zip Code | 59601-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453324 | Mark S Kreisberg | Internal Medicine | 2475 E Broadway St, Helena, MT 59601-4928 | 2005-08-02 |
| 1891392999 | Emma Johnson | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-10-02 |
| 1124642350 | Andeelyn Wardell | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-06-03 |
| 1992331375 | Alexander Jewett | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4999 | 2020-03-18 |
| 1083257489 | Maryann Elizabeth Beach | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-18 |
| 1265073647 | Shea Adair Fanning | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-07 |
| 1104477488 | Heather Safransky | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-09-26 |
| 1821564980 | Kaitlyn Jae Deaton | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-10-16 |
| 1427551761 | Tolly Joan Patten | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-03-13 |
| 1144734971 | Jennifer Colegrove | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| 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 |
|---|---|---|---|---|
| 1518413533 | Ki Edwards | Specialist | 230 Chadwick Ln, Helena, AL 35080-3136 | 2016-08-30 |
| 1730430679 | Amy Swanson | Specialist | 2748 Colonial Dr., Suite B, Helena, MT 59601 | 2012-10-01 |
| 1255500278 | Donald Lee Pedersen | Specialist | 635 S Harris St, Helena, MT 59601-5409 | 2008-02-24 |
| 1669652087 | River Gates Nephrology, PC | Specialist | 2525 E Broadway St Ste 202a, Helena, MT 59601-8049 | 2007-11-14 |
| 1730274101 | Plastic and Reconstructive Surgery of Helena, P.C. | Specialist | 715 Getchell Street, Helena, MT 59601 | 2006-10-03 |
| 1518062587 | Patrick James Walton | Specialist | 6330 Danas Point Dr, Helena, MT 59602-8290 | 2006-09-14 |
| 1508890989 | Gill Gibson Pillow | Specialist | 101 Shirley Hicks Dr, Helena, AR 72342-8852 | 2006-07-10 |
| 1679527261 | Sherri E Gomes | Specialist | 2748 Colonial Dr, Helena, MT 59601-4947 | 2006-05-19 |
| 1912977422 | Donna Mary Aline | Specialist | 2442 Winne Ave, Helena, MT 59601-4915 | 2006-01-25 |
| 1144465287 | Womens Health Care Center Pllc | Specialist | 2525 E Broadway St Ste 204, Helena, MT 59601-8049 | 2008-12-03 |
| Find all providers in HELENA | ||||
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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.