Vincent G Laurence (NPI# 1659699148, PAC ID# 1254647225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1659699148 |
| PAC ID by PECOS | 1254647225 |
| Professional Enrollment ID | I20181112001002 |
| Full Name | Vincent G Laurence |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Address |
902 N Orange St Wound Care Missoula MT 59802-2928 |
| Phone Number | 4063295736 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 6608786306 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST. PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 W Broadway St, Missoula, MT 59802-4008 | 4065437271 | PROVIDENCE HEALTH AND SERVICES MT |
| 902 N Orange St, Wound Care, Missoula, MT 59802-2928 | 4063295736 | PROVIDENCE HEALTH AND SERVICES MT |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Physicians | 215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noor Alain Bass | Family Medicine | Providence Health and Services Mt | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3103 |
| Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
| Akaash Forrest Acharya | Internal Medicine | Providence Health and Services Mt | 902 N Orange St 4th Fl, Inpatient Rehab, Missoula, MT 59802-2998 |
| Carin Dougherty | Physician Assistant | Providence Health and Services Mt | 401 W Pennsylvania St, Comm Hosp of Anaconda, Anaconda, MT 59711-1931 |
| Nicole Diane Pfeifer | Nurse Practitioner | Providence Health and Services Mt | 4720 23rd Ave, Missoula, MT 59803-1137 |
| Emily A Cote | Nurse Practitioner | Providence Health and Services Mt | 5549 Old Us Hwy 93, Florence, MT 59833-6545 |
| Tina M Barker | Nurse Practitioner | Providence Health and Services Mt | 500 W Broadway St 5th Fl, Trauma Services, Missoula, MT 59802-4096 |
| Kevin M Sheehan | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St 4th Floor, Providence Broadway Int Med, Missoula, MT 59802-4096 |
| John A Willoughby | Psychiatry | Providence Health and Services Mt | 900 N Orange St, 202 Providence Psychiatry, Missoula, MT 59802-2951 |
| Rebecca B Hoover | Family Medicine | Providence Health and Services Mt | 621 W Alder, Pmg Mt Missoula Family Medical, Missoula, MT 59802-4014 |
| Street Address |
902 N ORANGE ST WOUND CARE |
| City | MISSOULA |
| State | MT |
| Zip | 59802-2928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele A Danicich | Endocrinology | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Ingrid Hazlett | Certified Clinical Nurse Specialist (cns) | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Wanda Lynn King | Registered Dietitian Or Nutrition Professional | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Marco Antonio Lorio | Infectious Disease | Providence Health and Services Mt | 902 N Orange St, Pmg Mt Infection Disease, Missoula, MT 59802-2928 |
| Pamela S Lockwood | Registered Dietitian Or Nutrition Professional | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Cameron L Wells | Registered Dietitian Or Nutrition Professional | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Sara Engberg | Registered Dietitian Or Nutrition Professional | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Barbara Ann Jacobson | Nurse Practitioner | Providence Health and Services Mt | 902 N Orange St, Wound Care, Missoula, MT 59802-2928 |
| Jennifer H Troupe | Registered Dietitian Or Nutrition Professional | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Jennifer A Culp | Physician Assistant | Providence Health and Services Mt | 902 N Orange St, Missoula, MT 59802-2928 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Mann | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Laura E Marx | Nurse Practitioner | 825 W Kent Ave, Missoula, MT 59802 | |
| Ragna M Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Aric A Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Megan Sproull | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Noah M Bray | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Robert J Gillespie | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Carissa A Benjamin | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Danielle Chapin | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Angela Marie Ireland | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Find all physicians in zip 59802 | |||
| City | MISSOULA |
| Zip Code | 59802 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MISSOULA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Vincent G Laurence.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.