Maximillian W Holliday (NPI# 1487848289, PAC ID# 6709972276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487848289 |
| PAC ID by PECOS | 6709972276 |
| Professional Enrollment ID | I20150518000012 |
| Full Name | Maximillian W Holliday |
| Organization Legal Name | BONNER GENERAL HOSPITAL, INC. |
| Address |
1029 Mt Hwy 200 Noxon MT 59853-9746 |
| Phone Number | 4068472100 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082690466 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131328 | BONNER GENERAL HOSPITAL |
| 271323 | CLARK FORK VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1029 Mt Hwy 200, Noxon, MT 59853-9746 | 4068472100 | BONNER GENERAL HOSPITAL, INC. |
| Organization Legal Name | BONNER GENERAL HOSPITAL, INC. |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas A Cipriano | Orthopedic Surgery | Bonner General Hospital, Inc. | 606 N 3rd Ave, Suite 201, Sandpoint, ID 83864-1689 |
| Brian J Mcnamee | Diagnostic Radiology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Suite 210, Sandpoint, ID 83864-1505 |
| Morgan A Morton | Obstetrics/gynecology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Suite 210, Sandpoint, ID 83864-1505 |
| Natasha M Splaine | Nurse Practitioner | Bonner General Hospital, Inc. | 423 N 3rd Ave, Sandpoint, ID 83864-1505 |
| Bryan D Berkey | Diagnostic Radiology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Sandpoint, ID 83864-1505 |
| Albert J Martinez | Diagnostic Radiology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Suite 210, Sandpoint, ID 83864-1505 |
| Joseph A Wassif | Psychologist, Clinical | Bonner General Hospital, Inc. | 423 N 3rd Ave, Sandpoint, ID 83864-1505 |
| Amelia W Huntsberger | Obstetrics/gynecology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Sandpoint, ID 83864-1505 |
| Randon Opp | Diagnostic Radiology | Bonner General Hospital, Inc. | 423 N 3rd Ave, Suite 210, Sandpoint, ID 83864-1505 |
| John M Faggard Iii | Orthopedic Surgery | Bonner General Hospital, Inc. | 606 N 3rd Ave, Suite 201, Sandpoint, ID 83864-1689 |
| Street Address |
1029 MT HWY 200 |
| City | NOXON |
| State | MT |
| Zip | 59853-9746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Reinmiller | Physical Therapy | St. John's Lutheran Hospital Inc | 1029 Mt Hwy 200, Noxon, MT 59853-9746 |
| City | NOXON |
| Zip Code | 59853 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NOXON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maximillian W Holliday.
| 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.