DOUGLAS P WADLE (NPI# 1922115393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922115393 |
| Entity Type | Individual |
| Full Name | DOUGLAS P WADLE |
| Credential | MD |
| Practice Address |
320 Alpenglow Lane Livingston MT 59047 |
| Practice Telephone | 4068236414 |
| Practice Fax Number | 4068236287 |
| Mailing Telephone | 4068236414 |
| Mailing Fax Number | 4068236287 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10363 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0074681 | 05 | |
| MT | BLUECROSSBLUESHIELD | 000094765 | 01 |
| Street Address |
320 ALPENGLOW LANE |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396778569 | Grant Palm | Nurse Anesthetist, Certified Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-07-09 |
| 1699172049 | Chelsey Clark | Dietitian, Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2014-12-01 |
| 1417241068 | Kelly Walker | Family Medicine | 320 Alpenglow Lane, Livingston, MT 59047 | 2011-05-31 |
| 1134391865 | Lindsay L Carlson | Family Medicine | 320 Alpenglow Lane, Livingston, MT 59047 | 2008-04-02 |
| 1669695557 | Livingston Healthcare | Clinic/Center | 320 Alpenglow Lane, Livingston, MT 59047 | 2007-04-10 |
| 1104975317 | Julie Higgs | Nurse Anesthetist, Certified Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2007-01-09 |
| 1942376595 | Hannah Sexton | Physician Assistant | 320 Alpenglow Lane, Livingston Health Care, Livingston, MT 59047 | 2006-11-27 |
| 1134291339 | Bruce Swarny | Family Medicine | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-11-14 |
| 1790893634 | Ted R Scofield | Internal Medicine | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-08-29 |
| 1104934025 | Peggy C Scanson | Nurse Practitioner | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195859 | Dr Vien Pham Pllc | Internal Medicine | 1717 Highway 59 Loop N Ste C, Livingston, TX 77351-5720 | 2019-07-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1336524263 | Martin Bedigian | Internal Medicine | 25 W Northfield Rd, Suite C, Box 642, Livingston, NJ 07039-3760 | 2015-07-21 |
| 1962899187 | Michael Pickert | Internal Medicine | 24 N Hillside Ave, Livingston, NJ 07039 | 2015-04-26 |
| 1972945632 | Allergy Better Care | Internal Medicine | 22 Old Short Hills Rd Ste 110, Livingston, NJ 07039-5605 | 2013-07-23 |
| 1043654114 | Vien Thuy Pham | Internal Medicine | 1717 Us-59 Loop N., Ste C, Livingston, TX 77351-7735 | 2013-04-19 |
| 1790129856 | Deborah Petrowsky | Internal Medicine | 299 E Northfield Rd, Livingston, NJ 07039-4811 | 2013-04-19 |
| 1558670901 | Kenneth J Laurora Md Pa | Internal Medicine | 400 Bypass Ln Ste 111, Livingston, TX 77351-7380 | 2010-10-04 |
| 1174836795 | Noah Laban Rosenberg | Internal Medicine | 17 Trinity Dr, Livingston, NJ 07039-2448 | 2010-07-24 |
| 1922331628 | Michael Lawrence Nemlick | Internal Medicine | 7 Side Hill Ct, Livingston, NJ 07039-3314 | 2009-09-12 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
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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.