Tony L Ham (NPI# 1760555908, PAC ID# 8022087816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1760555908 |
PAC ID by PECOS | 8022087816 |
Professional Enrollment ID | I20040928001294 |
Full Name | Tony L Ham |
Organization Legal Name | MARIAS HEALTHCARE SERVICES INC |
Address |
670 Park Ave Shelby MT 59474-1663 |
Phone Number | 4064343100 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3577451327 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
271328 | MARIAS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
670 Park Ave, Shelby, MT 59474-1663 | 4064343100 | MARIAS HEALTHCARE SERVICES INC |
Organization Legal Name | MARIAS HEALTHCARE SERVICES INC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin Paul Hooker | Podiatry | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Christopher S Rost | Physician Assistant | Marias Healthcare Services Inc | 805 Sunset Blvd, Pondera Medical Center, Conrad, MT 59425-1717 |
Todd E Gianarelli | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Joni Walton | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Brooke Elain Dager | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Jodi L Habets | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Katherine Biccum | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Mechelle Lewis | Internal Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Heidi L Lynn Hunsucker | Nurse Practitioner | Marias Healthcare Services Inc | 805 Sunset Blvd, Pondera Medical Center, Conrad, MT 59425-1717 |
April C Viverette | Clinical Social Worker | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Street Address |
670 PARK AVE |
City | SHELBY |
State | MT |
Zip | 59474-1663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin Paul Hooker | Podiatry | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Todd E Gianarelli | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Joni Walton | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Brooke Elain Dager | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Jodi L Habets | Nurse Practitioner | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Katherine Biccum | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Mechelle Lewis | Internal Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
April C Viverette | Clinical Social Worker | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Melanie A Hardy | Family Medicine | Marias Healthcare Services Inc | 670 Park Ave, Shelby, MT 59474-1663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jared H Heimbigner | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
Ronald S Ray | Certified Registered Nurse Anesthetist | Toole County | 640 Park Ave, Shelby, MT 59474-1663 |
Nicholas C Cantrell | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
Michael T Henson | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
Donald J Schumacher | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
James M Mckee | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
Nicholas J Satovick | Diagnostic Radiology | Northwest Imaging, PC | 640 W Park Dr, Marias Medical Center, Shelby, MT 59474-1663 |
Jacque M Negrete | Clinical Social Worker | 111 Gallatin St, Shelby, MT 59474-1676 | |
Alan W Bridge | Chiropractic | Shelby Chiropractic Inc | 234 Main St, Shelby, MT 59474-1910 |
Daniel Bridge | Chiropractic | Shelby Chiropractic Inc | 234 Main St, Shelby, MT 59474-1910 |
Find all physicians in zip 59474 |
City | SHELBY |
Zip Code | 59474 |
Specialty | FAMILY MEDICINE |
City + Specialty | SHELBY + FAMILY MEDICINE |
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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.