MARIAH WALKER BONNER (NPI# 1962825356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962825356 |
| Entity Type | Individual |
| Full Name | MARIAH WALKER BONNER |
| Credential | DO |
| Practice Address |
104 Rufus Ln Polson MT 59860 |
| Mailing Address |
104 Rufus Ln Polson MT 59860-8903 |
| Practice Telephone | 4068832555 |
| Practice Fax Number | 4068832559 |
| Mailing Telephone | 4068832555 |
| Mailing Fax Number | 4068832559 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 69131 | MT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Railroad St W, Missoula, MT 598024109 | 4062584789 | 4062584732 |
| Street Address |
104 RUFUS LN |
| City | POLSON |
| State | MT |
| Zip Code | 59860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091113 | Cara J Harrop | Family Medicine | 104 Rufus Ln, Polson, MT 59860-8903 | 2006-11-20 |
| 1548647290 | Tyler Jay Thorson | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2015-05-01 |
| 1912208844 | St Patricks Hospital and Health Sciences Center | General Acute Care Hospital | 104 Rufus Ln, Polson, MT 59860-8903 | 2010-11-09 |
| 1184785420 | St. Lukes Community Hospital | Clinic/Center | 104 Rufus Ln, Polson, MT 59860-8903 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| 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 |
|---|---|---|---|---|
| 1437680758 | Isaac Billings | Family Medicine | 107 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2017-03-27 |
| 1396008231 | Heidi Woxland | Family Medicine | 106 Ridgewater Dr, Suite A, Polson, MT 59860-8977 | 2012-06-15 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| 1114091113 | Cara J Harrop | Family Medicine | 104 Rufus Ln, Polson, MT 59860-8903 | 2006-11-20 |
| 1932273927 | Paul D Gochis | Family Medicine | 107 Ridgewater Dr, Polson, MT 59860-8977 | 2006-11-20 |
| 1245269810 | Daniel P Rausch | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-07-03 |
| 1235679796 | Shana Eaglefeathers | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-03-03 |
| 1548647290 | Tyler Jay Thorson | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2015-05-01 |
| 1104268887 | Scot A Swanson | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2013-07-23 |
| 1134561806 | Thomas E Sherry | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2013-07-23 |
| Find all providers in POLSON | ||||
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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.