JOHN SMITH (NPI# 1962412189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962412189 |
| Entity Type | Individual |
| Full Name | JOHN SMITH |
| Credential | MD |
| Practice Address |
1211 S Reserve St Suite 101 Missoula MT 59801-3102 |
| Mailing Address |
Po Box 16900 Missoula MT 59808-6900 |
| Practice Telephone | 4063274353 |
| Practice Fax Number | 4063274399 |
| Mailing Telephone | 4063274620 |
| Mailing Fax Number | 4065495928 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MT6574 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000098860 | 01 |
| MT | 1962412189 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
1211 S RESERVE ST SUITE 101 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235149451 | Nancy Eyler | Family Medicine | 1211 S Reserve St, Ste 202, Missoula, MT 59801-3102 | 2006-08-09 |
| 1528358363 | Katherine M Hastings | Family Medicine | 1211 S Reserve St, Suite101, Missoula, MT 59801-3102 | 2011-04-13 |
| 1700032018 | Birth Center Facility | Clinic/Center | 1211 S Reserve St, Missoula, MT 59801-3102 | 2008-08-18 |
| 1770785263 | Gateway Physical Therapy and Wellness PC | Physical Therapist | 1211 S Reserve St, Suite 202e, Missoula, MT 59801-3101 | 2007-06-05 |
| 1922125749 | Arura Corporation | Acupuncturist | 1211 S Reserve St, Suite 202a, Missoula, MT 59801-3101 | 2007-03-25 |
| 1124180088 | Gregory Allan Zlock | Dentist | 1211 S Reserve St, Suite 201, Missoula, MT 59801-3101 | 2006-12-15 |
| 1801969779 | Rocky Mountain Women's Health | Advanced Practice Midwife | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3101 | 2006-11-16 |
| 1700998705 | Missoula Pharmacy Inc | Pharmacy | 1211 S Reserve St, Ste 102, Missoula, MT 59801-3102 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1063604338 | Rebecca Coenen Belsom | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2007-08-10 |
| 1669519930 | Melody Nelsen | Internal Medicine | 500 W. Broadway, Missoula, MT 59802-4008 | 2007-01-30 |
| 1164570172 | Rebecca L Danforth | Internal Medicine | 500 W Broadway St, Missoula, MT 59802 | 2007-01-08 |
| 1144243155 | Susan C. English | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-07-25 |
| 1568418630 | Ann M Corsi | Internal Medicine | 500 West Broadway, Missoula, MT 59802-4008 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336523836 | Wendy Lee Donaugh | Internal Medicine | 100 Brookshire Blvd, Bldg 2, Suite 1a, Billings, MT 59102-6751 | 2015-07-14 |
| 1013166164 | Phillip Embury Griffin | Internal Medicine | 2938 Rockrim Ln, Billings, MT 59102-0852 | 2008-09-13 |
| 1740360676 | Bernadette Vanbelois | Internal Medicine | 150 Commons Way, Kalispell, MT 59901-1910 | 2006-10-16 |
| 1932206505 | Enrico F Arguelles | Internal Medicine | 708 Broadwater Avenue, Billings, MT 59101 | 2006-09-17 |
| 1811989148 | Robert Allen Mcnutt | Internal Medicine | 121 N Last Chance Gulch, Ste H, Helena, MT 59601-4140 | 2005-08-23 |
| 1730657628 | Kalispell Regional Medical Center Inc | Internal Medicine | 150 Commons Way, Kalispell, MT 59901-1910 | 2018-11-08 |
| 1033581780 | North Valley Hospital, Inc | Internal Medicine | 2000 Hospital Way, Whitefish, MT 59937-7858 | 2015-10-21 |
| 1528385598 | Horng-chyi Richard Lai | Internal Medicine | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2010-04-29 |
| 1003090481 | Melissa Rae Reily | Internal Medicine | 931 Highland Blvd, Suite 3260, Bozeman, MT 59715-6911 | 2007-12-20 |
| 1376762823 | Bruno Oliveira | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2007-04-24 |
| 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.