CHILDREN'S NEUROLOGY CENTER PC (NPI# 1982863726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982863726 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S NEUROLOGY CENTER PC |
| Practice Address |
2475 E Broadway St Helena MT 59601-4928 |
| Practice Telephone | 4064442288 |
| Practice Fax Number | 4064442163 |
| Mailing Telephone | 4064442288 |
| Mailing Fax Number | 4064442163 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | DONALD JAMES WIGHT (PHYSICAN/PRESIDENT) |
| Authorized Official Telephone | 4064442288 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
6989 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0093938 | 05 | |
| MT | BLUE CROS BLUE SHIELD | 002981 | 01 |
| Street Address |
2475 E BROADWAY ST |
| City | HELENA |
| State | MT |
| Zip Code | 59601-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453324 | Mark S Kreisberg | Internal Medicine | 2475 E Broadway St, Helena, MT 59601-4928 | 2005-08-02 |
| 1891392999 | Emma Johnson | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-10-02 |
| 1124642350 | Andeelyn Wardell | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-06-03 |
| 1992331375 | Alexander Jewett | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4999 | 2020-03-18 |
| 1083257489 | Maryann Elizabeth Beach | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-18 |
| 1265073647 | Shea Adair Fanning | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-07 |
| 1104477488 | Heather Safransky | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-09-26 |
| 1821564980 | Kaitlyn Jae Deaton | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-10-16 |
| 1427551761 | Tolly Joan Patten | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-03-13 |
| 1144734971 | Jennifer Colegrove | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457564759 | Mary Anne Guggenheim | Psychiatry & Neurology | 7575 Priest Pass Rd, Helena, MT 59601-9666 | 2007-05-07 |
| 1356414791 | Donald James Wight | Psychiatry & Neurology | 2475 E Broadway St, Helena, MT 59601-4928 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750544490 | Marcus Steven Wheeler | Psychiatry & Neurology | 200 Commons Way Ste C, Kalispell, MT 59901-1915 | 2008-07-02 |
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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.