DR. MARK THOMAS KLIETZ (NPI# 1922378454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922378454 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS KLIETZ |
| Credential | DVM |
| Practice Address |
1001 E Broadway St Ste. #7 Missoula MT 59802-4970 |
| Practice Telephone | 4067280095 |
| Practice Fax Number | 4067280097 |
| Mailing Telephone | 4067280095 |
| Mailing Fax Number | 4067280097 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174M00000X | Veterinarian | 090.005719 | IL | Other Service Providers |
| Y | 174M00000X | Veterinarian | 1297 | MT | Other Service Providers |
| Street Address |
1001 E BROADWAY ST STE. #7 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780769901 | Gregory D Hutton | Family Medicine | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2006-10-26 |
| 1235391269 | Raymond Joshua Smith | Nurse Practitioner | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558708263 | Pruyn Veterinary Hospital, LLC | Veterinarian | 2501 S Russell St, Missoula, MT 59801-7917 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104291475 | Alfred Flint | Veterinarian | 3934 Frontage Rd, Three Forks, MT 59752-8501 | 2015-12-11 |
| 1306269766 | Kelli Jo Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1851712020 | Katherine Kilzer | Veterinarian | 1645 Central Ave, Billings, MT 59102-5138 | 2013-12-13 |
| 1790112340 | Trevor William Mccormick | Veterinarian | 5288 Us Highway 89 S, Livingston, MT 59047-9133 | 2013-09-27 |
| 1720331424 | Dain Lochridge | Veterinarian | 4713 Itana Cir, Bozeman, MT 59715-9330 | 2012-10-18 |
| 1063692663 | Lucas Thomi | Veterinarian | 4880 N Montana Ave, Helena, MT 59602-7227 | 2007-11-12 |
| 1740603158 | Sheila Ann Smart | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-22 |
| 1043633316 | Kelsey Baver | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-22 |
| 1487077848 | Nicholas Joseph Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1013330463 | Jessica Quinton Kirkpatrick | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 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.