UNIVERSITY OF MONTANA (NPI# 1811386220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811386220 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MONTANA |
| Other Organization Name | UMT SPORTS MEDICINE |
| Practice Address |
37 Campus Dr Hoyt Complex Missoula MT 59812-0001 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 4062436282 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 18005559073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UMT Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154460434 | University of Montana | Speech-Language Pathologist | 700 Sw Higgins Ave., Suite 250, Missoula, MT 59803-3602 | 2007-02-05 |
| 1578585592 | University of Montana | Physical Therapist | 32 Campus Dr, Skaggs Bldg #129, Missoula, MT 59812-4680 | 2006-07-25 |
| 1467924217 | University of Montana | Physical Therapist | 401 Railroad St W, Missoula, MT 59802-4109 | 2018-12-18 |
| 1922598481 | University of Montana | Pharmacy | 32 Campus Dr, Skaggs Building 216, Missoula, MT 59812-1522 | 2018-05-10 |
| 1588022594 | University of Montana | Physical Medicine & Rehabilitation | 32 Campus Dr, Skaggs Bldg., Ste 115, Missoula, MT 59801-4494 | 2016-02-04 |
| 1558589960 | University of Montana | Clinic/Center | 634 Eddy Ave, Missoula, MT 59812-1851 | 2007-04-23 |
| 1366593345 | University of Montana | Durable Medical Equipment & Medical Supplies | 634 Eddy Ave, Missoula, MT 59801 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF MONTANA WESTERN, THE | 710 S Atlantic St, Dillon, MT 59725-3511 |
| Street Address |
37 CAMPUS DR HOYT COMPLEX |
| City | MISSOULA |
| State | MT |
| Zip Code | 59812-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679094171 | Conor Morrissey Marlatt | Specialist/Technologist | 32 Campus Dr., Missoula, MT 59812 | 2017-07-05 |
| 1932458015 | Nils Jackson | Physical Therapist | 32 Campus Drive, Missoula, MT 59812 | 2012-09-05 |
| 1659520138 | Robert B Curry | Student in an Organized Health Care Education/Training Program | 634 Eddy St, Missoula, MT 59812 | 2008-09-09 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1841841061 | Lonnie Murphy | Pharmacist | 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 | 2019-09-28 |
| 1932686839 | Tessa Gorchesky | Specialist/Technologist | 32 Campus Drive, Missoula, MT 59812 | 2018-07-24 |
| 1326329046 | Colleen Marie Ferriter | Dentist | 634 Eddy Ave, Missoula, MT 59812 | 2011-09-08 |
| 1336251396 | Caryn C Guse | Speech-Language Pathologist | 634 Eddy Ave, Chc 009 Montech, Missoula, MT 59812 | 2006-08-31 |
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1386262483 | Karly Niemann | Specialist/Technologist | Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 | 2020-07-06 |
| Find all providers in zip 59812 | ||||
| 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 |
|---|---|---|---|---|
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
| 1861889024 | Andrew Scott Stritzke | Family Medicine | 2831 Fort Missoula Rd, Buidling 2, Ste 146, Missoula, MT 59804-7401 | 2015-04-24 |
| 1205084167 | Robert Franklin Stanchfield | Family Medicine | 77 Brookside Way, Missoula, MT 59802 | 2008-09-04 |
| 1144353707 | Sam A Wallace | Family Medicine | 341 W Pine St, Missoula, MT 59802-4119 | 2007-03-13 |
| 1639254709 | Timothy J Mccue | Family Medicine | 41 Wildground Ln, Missoula, MT 59802-3335 | 2006-10-26 |
| 1780769901 | Gregory D Hutton | Family Medicine | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2006-10-26 |
| 1568543106 | Harold Mark Coward | Family Medicine | 3700 S Russell St Ste 115, Missoula, MT 59801-8579 | 2006-10-18 |
| 1720171994 | Sandra Lauren Shepherd | Family Medicine | 2825 Fort Missoula Rd Ste 115, Missoula, MT 59804-7403 | 2006-10-02 |
| 1922106004 | James H Quirk Jr. | Family Medicine | 2230 North Reserve St, Missoula, MT 59808 | 2006-09-20 |
| Find all providers in MISSOULA | ||||
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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.