MRS. JILL DENISE BOLSTAD (NPI# 1932272077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932272077 |
| Entity Type | Individual |
| Full Name | MRS. JILL DENISE BOLSTAD |
| Other Name | MS. JILL DENISE ROBISON |
| Credential | MD |
| Practice Address |
25 14th Ave Nw Great Falls MT 59404-1954 |
| Practice Telephone | 4067318888 |
| Practice Fax Number | 4067318318 |
| Mailing Telephone | 4067318888 |
| Mailing Fax Number | 4067318318 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 7628 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
25 14TH AVE NW |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469935 | Eric Sievers | Nurse Practitioner | 25 14th Ave Nw, Great Falls, MT 59404-1954 | 2018-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1063444396 | Joy Christine Burk | Pediatrics | 401 15th Ave S Ste 201, Great Falls, MT 59405-4334 | 2006-07-07 |
| 1598228355 | Benefis Hospitals, Inc. | Pediatrics | 1300 28th Street South, Pediatrics, Great Falls, MT 59405 | 2019-04-09 |
| 1174973853 | Elizabeth S Farnsworth | Pediatrics | 1400 29th St S, Great Falls, MT 59405-5315 | 2016-06-14 |
| 1588044630 | Paul Meiners | Pediatrics | 1600 Division Rd, Great Falls, MT 59404 | 2015-06-04 |
| 1518301548 | Marina Lynn Wilson | Pediatrics | 1101 26th St S, Great Falls, MT 59405-5161 | 2013-04-22 |
| 1598108433 | Rachel E Amthor | Pediatrics | 1300 28th St S Ste 6, Great Falls, MT 59405-5296 | 2013-04-10 |
| 1093007452 | Jordan Lejeune | Pediatrics | 1101 26th St S, Great Falls, MT 59405-5161 | 2011-05-04 |
| 1881984227 | Emily Grant | Pediatrics | 1300 28th St S, Great Falls, MT 59405-5296 | 2011-04-19 |
| 1861781742 | Thomas Joseph Eskelsen | Pediatrics | 1400 29th St S, Great Falls, MT 59405-5353 | 2011-03-31 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
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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.