MONTANA NEUROLOGY PLLC (NPI# 1780810275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780810275 |
| Entity Type | Organization |
| Organization Name | MONTANA NEUROLOGY PLLC |
| Practice Address |
2825 Fort Missoula Rd Ste 121 Missoula MT 59804 |
| Mailing Address |
2825 Fort Missoula Rd Suite #121 Missoula MT 59804-7420 |
| Practice Telephone | 4069263500 |
| Practice Fax Number | 4069263498 |
| Mailing Telephone | 4069263500 |
| Mailing Fax Number | 4069263498 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | DR. THOMAS H SWANSON (CEO) |
| Authorized Official Telephone | 4069263500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| Street Address |
2825 FORT MISSOULA RD STE 121 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669728556 | Imran Khan | Psychiatry & Neurology | 601 W Spruce St Ste J, Missoula, MT 59802-4047 | 2012-07-27 |
| 1093135741 | Kyle Charles Smith | Psychiatry & Neurology | 601 W Spruce St Ste J, Missoula, MT 59802 | 2014-04-21 |
| 1497814743 | Michael S Young | Psychiatry & Neurology | 1410 S Reserve St, Missoula, MT 59801-4758 | 2006-12-06 |
| 1548209851 | Stephen F Johnson | Psychiatry & Neurology | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-06-05 |
| 1770536872 | John D Schaeffer | Psychiatry & Neurology | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-05-18 |
| 1225023096 | Lennard Steven Wilson | Psychiatry & Neurology | 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316366495 | David Keith Lorance Jr. | Psychiatry & Neurology | 931 Highland Blvd Ste 3210, Bozeman, MT 59715-6912 | 2014-04-15 |
| 1467636746 | Wynde Kae Cheek | Psychiatry & Neurology | 5611 Rainbow Dr, Helena, MT 59602-9574 | 2007-12-22 |
| 1467635920 | Stuart N. Kieran, M.d., Pllc | Psychiatry & Neurology | 1019 W Main, Hamilton, MT 59840-4218 | 2007-12-07 |
| 1114114220 | Mary Carol Sims | Psychiatry & Neurology | 140 Weasel Creek Rd, Box 470126, Winston, MT 59647-0126 | 2007-10-02 |
| 1457486276 | Intermountain Neurology PC | Psychiatry & Neurology | 650 Ferguson Ave, Suite 1, Bozeman, MT 59718-6518 | 2007-02-22 |
| 1811062870 | Advanced Neurology Specialists Pllc | Psychiatry & Neurology | 400 15th Ave S Ste 206, Great Falls, MT 59405-4375 | 2006-11-22 |
| 1629150123 | Stuart Neil Kieran | Psychiatry & Neurology | 1019 W Main St, Hamilton, MT 59840-2333 | 2006-10-20 |
| 1750325692 | Roger S. Williams | Psychiatry & Neurology | 120 Poly Dr, Suite 201, Billings, MT 59101-0136 | 2006-06-14 |
| 1518913250 | Bret D Lindsay | Psychiatry & Neurology | 200 Commons Way Ste C, Kalispell, MT 59901-1915 | 2006-05-25 |
| 1093774887 | Joshua Aaron Knappenberger | Psychiatry & Neurology | 931 Highland Blvd Ste 3260, Bozeman, MT 59715-6907 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
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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.