DANIEL LUSTIG (NPI# 1952458747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952458747 |
| Entity Type | Individual |
| Full Name | DANIEL LUSTIG |
| Credential | MD |
| Practice Address |
202 Conway Dr Ste 200 Kalispell MT 59901-3153 |
| Practice Telephone | 8442157969 |
| Practice Fax Number | 4067587080 |
| Mailing Telephone | 8442157969 |
| Mailing Fax Number | 4067587080 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
49836 | MT | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD60021216 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
202 CONWAY DR STE 200 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245341874 | Tracy Edward Rogers | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-08-31 |
| 1154785822 | Kalispell Regional Medical Center Inc | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2016-04-08 |
| 1134461452 | Ashley Ann Dunn | Dietitian, Registered | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2013-03-25 |
| 1073864492 | Rachel Desimone | Nurse Practitioner | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2012-09-25 |
| 1891990081 | Kimberly Lynn Longcake | Nurse Practitioner | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-06-18 |
| 1770639387 | Thomas E. Flass | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-26 |
| 1437243763 | Brianne Peltz | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154785822 | Kalispell Regional Medical Center Inc | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2016-04-08 |
| 1770639387 | Thomas E. Flass | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013527 | Uwe Blecker | Pediatrics | 1232 N 30th St Ste 200, Billings, MT 59101-0139 | 2005-12-08 |
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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.