LOGEN ROSS NUNBERG (NPI# 1922653484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922653484 |
| Entity Type | Individual |
| Full Name | LOGEN ROSS NUNBERG |
| Credential | NP-C |
| Practice Address |
105 E Oak St Ste 1e Bozeman MT 59715-2978 |
| Practice Telephone | 4064041350 |
| Mailing Telephone | 4064041350 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NUR-APRN-LIC-146 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE LICENSE | NUR-APRN-LIC-146080 | 01 |
| Street Address |
105 E OAK ST STE 1E |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| 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 |
|---|---|---|---|---|
| 1275732430 | Barbara Ellen Prescott | Family Medicine | 3056 Farmall St, Bozeman, MT 59718-9448 | 2007-07-17 |
| 1437357126 | Hanly Burton | Family Medicine | 316 E Babcock, Bozeman, MT 59715 | 2007-07-05 |
| 1063621985 | Robert Owen Mcginnis | Family Medicine | 1575 W Kagy Blvd, Bozeman, MT 59715-6509 | 2007-05-21 |
| 1720205628 | Karen Joyce Reif | Family Medicine | Swingle Student Health Service 7th Ave. S., Montana St. University, Bozeman, MT 59717-3260 | 2007-04-20 |
| 1699896332 | Arnold Shapiro | Family Medicine | Swingle Student Health Service South 7th Ave., Msu, Bozeman, MT 59717 | 2007-04-02 |
| 1942361860 | Family Doctors Urgent Care LLC | Family Medicine | 120 North 19th, Suite A, Bozeman, MT 59718-3920 | 2006-12-13 |
| 1427119379 | Thomas Richard Goldsmith | Family Medicine | 10150 Cottonwood Road, Bozeman, MT 59718-8969 | 2006-12-13 |
| 1801962758 | Karen Louise Selin | Family Medicine | South Seventh Ave., Bozeman, MT 59717-3260 | 2006-11-24 |
| 1013082932 | Ita M Killeen | Family Medicine | Swingle Student Health Service South 7th Ave, Msu, Bozeman, MT 59715-3260 | 2006-11-24 |
| 1760555908 | Tony L Ham | Family Medicine | 340 Deer Path, Bozeman, MT 59718-7674 | 2006-11-16 |
| Find all providers in BOZEMAN | ||||
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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.