JONATHAN L BINGHAM (NPI# 1821074295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821074295 |
| Entity Type | Individual |
| Full Name | JONATHAN L BINGHAM |
| Credential | MD |
| Practice Address |
400 13th Ave S Ste 206 Great Falls MT 59405-4300 |
| Practice Telephone | 4067318888 |
| Practice Fax Number | 4067318318 |
| Mailing Telephone | 4067318888 |
| Mailing Fax Number | 4067318318 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
21190 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700172368 | Jonathan Seth Bingham | Emergency Medicine | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2011-06-22 |
| 1063449809 | Jonathan B Bingham | Urology | 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6271 | 2006-06-27 |
| Street Address |
400 13TH AVE S STE 206 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053341222 | North Central Primary Care Associates | Family Medicine | 400 13th Ave S Ste 206, Great Falls, MT 59405-4300 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647395 | Forefront Dermatology, S.c. | Dermatology | 1821 South Ave W Ste 402, Missoula, MT 59801-6518 | 2020-01-02 |
| 1558831289 | Highline Dermatology and Skin Cancer, PC | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-11-26 |
| 1851710727 | Logan Skelley | Dermatology | 50 S Last Chance Gulch, Helena, MT 59601-4130 | 2014-04-08 |
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on JONATHAN L BINGHAM.
| 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.