DR. NICK BLAVATSKY (NPI# 1902986227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902986227 |
| Entity Type | Individual |
| Full Name | DR. NICK BLAVATSKY |
| Credential | MD |
| Practice Address |
435 S Crystal St Suite 400 Butte MT 59701-1515 |
| Practice Telephone | 4064963400 |
| Practice Fax Number | 4064963401 |
| Mailing Telephone | 4064963400 |
| Mailing Fax Number | 4064963401 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8799 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0022882 | 05 |
| Street Address |
435 S CRYSTAL ST SUITE 400 |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112073 | Desiree Van Blaricom | Physical Therapist | 435 S Crystal St, Ste 400, Butte, MT 59701-1506 | 2005-05-23 |
| 1568008464 | Barrett Hospital Development Corporation | Clinic/Center | 435 S Crystal St, Butte, MT 59701-1506 | 2019-11-26 |
| 1447781380 | Melissa Lynne Blue | Nurse Practitioner | 435 S Crystal St, Butte, MT 59701 | 2017-03-22 |
| 1164819124 | Heather Nicole Salo | Physical Therapist | 435 S Crystal St, #400, Butte, MT 59701-1506 | 2015-04-16 |
| 1881083293 | Josette Ueland | Nurse Practitioner | 435 S Crystal St, Butte, MT 59701-1506 | 2015-01-22 |
| 1497143499 | Linda Picard | Physical Therapist | 435 S Crystal St, Suite 400, Butte, MT 59701-1506 | 2014-12-30 |
| 1023355849 | Scl Health Medical Group - Butte LLC | Clinical Medical Laboratory | 435 S Crystal St, Suite 210, Butte, MT 59701-1506 | 2013-01-14 |
| 1801148374 | St. James Healthcare Physician Billing, LLC | Clinical Medical Laboratory | 435 S Crystal St, Suite 210, Butte, MT 59701-1506 | 2012-10-09 |
| 1548534274 | Jennifer Louise Heglund | Physician Assistant | 435 S Crystal St, Suite 400, Butte, MT 59701-1506 | 2012-02-27 |
| 1811153711 | St. James Healthcare Primary Care Billing, LLC | Family Medicine | 435 S Crystal St, Butte, MT 59701-1506 | 2008-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1740446632 | St. James Healthcare Orthopedic Billing LLC | Orthopaedic Surgery | 435 S Crystal St Ste 400, Butte, MT 59701-1506 | 2008-07-31 |
| 1144300526 | Nick M Digiovine | Orthopaedic Surgery | 435 S Crystal St, Suite 400, Butte, MT 59701-1515 | 2006-10-17 |
| 1497835920 | Charles E Buehler | Orthopaedic Surgery | 225 S Clark St, Butte, MT 59701-1515 | 2006-10-17 |
| 1497835771 | Michael T Gallagher | Orthopaedic Surgery | 435 S Crystal St, Suite 400, Butte, MT 59701-1515 | 2006-10-17 |
| 1326146556 | Butte Orthopedic and Fracture Clinic PC | Orthopaedic Surgery | 435 S Crystal St, Suite 400, Butte, MT 59701-1515 | 2006-09-20 |
| 1164402707 | Anthony John Russo | Orthopaedic Surgery | 435 S. Crystal, Suite 400, Butte, MT 59701 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355475 | Omt Care of Mt, LLC | Orthopaedic Surgery | 1925 Grand Ave Ste 127, Billings, MT 59102-2776 | 2019-06-17 |
| 1558750596 | Heather Hansen | Orthopaedic Surgery | 2900 12th Ave No #140w, Billings, MT 59101-7507 | 2015-01-14 |
| 1932408473 | Emily C Harnden | Orthopaedic Surgery | 536 S Cottonwood Rd Ste 100, Bozeman, MT 59718-9529 | 2011-03-23 |
| 1710119953 | Darren Travis Herzog | Orthopaedic Surgery | 2702 8th Ave North, Billings, MT 59101 | 2009-08-21 |
| 1285870501 | Paul Mason Melvin | Orthopaedic Surgery | 26 Carriage Ln, Helena, MT 59601-9639 | 2008-12-17 |
| 1295998771 | Andrew Blackman | Orthopaedic Surgery | Great Falls Clinic, 3000 15th Avenue South, Great Falls, MT 59405 | 2008-07-06 |
| 1730340803 | Michael Alex Sousa | Orthopaedic Surgery | 23205 Nine Mile Rd, Huson, MT 59846-9622 | 2008-06-21 |
| 1134305709 | Timothy Donald Browne | Orthopaedic Surgery | 34072 Bluebird Ln, Ronan, MT 59864-9043 | 2008-01-14 |
| 1609919364 | Lotfi Ben-youssef | Orthopaedic Surgery | 214 14th Ave Sw Ste 108, Sidney, MT 59270-3521 | 2007-02-14 |
| 1316033129 | William M Iannacone | Orthopaedic Surgery | 310 Wendell Avenue, Suite 5, Lewistown, MT 59457-2267 | 2006-10-05 |
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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.