Stephanie Suprenant (NPI# 1508122938, PAC ID# 9931322302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1508122938 |
| PAC ID by PECOS | 9931322302 |
| Professional Enrollment ID | I20190401001922 |
| Full Name | Stephanie Suprenant |
| Organization Legal Name | RCHP BILLINGS - MISSOULA LLC |
| Address |
2835 Fort Missoula Rd Suite 203 Missoula MT 59804-7424 |
| Phone Number | 4063274730 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8426370842 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270023 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2835 Fort Missoula Rd, Suite 203, Missoula, MT 59804-7424 | 4063274730 | RCHP BILLINGS - MISSOULA LLC |
| Organization Legal Name | RCHP BILLINGS - MISSOULA LLC |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles W Acher | General Surgery | Rchp Billings - Missoula LLC | 2837 Fort Missoula Rd, Missoula, MT 59804-7408 |
| Monica R Trimble | Clinical Social Worker | Rchp Billings - Missoula LLC | 3800 Eastside Hwy, Stevensville, MT 59870-2224 |
| Brian Jeffrey Foster | Physician Assistant | Rchp Billings - Missoula LLC | 2307 Brooks St, Missoula, MT 59801-7959 |
| Michelle A Proper | Radiation Oncology | Rchp Billings - Missoula LLC | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 |
| David I Croteau | Family Medicine | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Frederick W Tai | Internal Medicine | Rchp Billings - Missoula LLC | 2825 Fort Missoula Rd, Suite 317, Missoula, MT 59804-7420 |
| Steven Lr Shaneyfelt | Gastroenterology | Rchp Billings - Missoula LLC | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 |
| Kristin Mckinlely Anderson | Family Medicine | Rchp Billings - Missoula LLC | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 |
| Leah Ann Miller | Obstetrics/gynecology | Rchp Billings - Missoula LLC | 2825 Fort Missoula Rd, Suite 217, Missoula, MT 59804-7403 |
| Bradley D Holbrook | Obstetrics/gynecology | Rchp Billings - Missoula LLC | 2825 Fort Missoula Rd, Missoula, MT 59804-7403 |
| Street Address |
2835 FORT MISSOULA RD SUITE 203 |
| City | MISSOULA |
| State | MT |
| Zip | 59804-7424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aubrey M Remmers | Family Medicine | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Carol Therese Cady | Allergy/immunology | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Saul Mj Rivard | Family Medicine | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Charlotte L Kutsch | Dermatology | 2835 Fort Missoula Rd, Suite 302, Missoula, MT 59804-7424 | |
| Scott C Wyman | Obstetrics/gynecology | 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7424 | |
| Claire Alexandra Steinberg | Nurse Practitioner | Rchp Billings - Missoula LLC | 2835 Fort Missoula Rd, Suite 301, Missoula, MT 59804-7424 |
| Kristin H Janczewski | General Surgery | 2835 Fort Missoula Rd, Suite 306, Missoula, MT 59804-7424 | |
| Franklin W Wiley Jr. | Family Medicine | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Eric J Kress | Family Medicine | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Mary Shick | Nurse Practitioner | Western Montana Clinic PC | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy E Rogers | Clinical Social Worker | 2601 S 3rd St W, Missoula, MT 59804-1143 | |
| Melissa A Clater | Clinical Social Worker | 2601 S 3rd St W, Missoula, MT 59804-1143 | |
| Benjamin D Brooker | Physical Therapy | Northern Rockies Orthopaedics, Pllp | 2740 S Ave W, Suite 101, Missoula, MT 59804-5114 |
| Lindsay M Abrams | Physical Therapy | Northern Rockies Orthopaedics, Pllp | 2740 S Ave W, Suite 101, Missoula, MT 59804-5114 |
| Daniel K Dixon | Orthopedic Surgery | Northern Rockies Orthopaedics, Pllp | 2740 S Ave W, Suite 101, Missoula, MT 59804-5114 |
| Arlon H Bennett | Nurse Practitioner | 2230 27th Ave, Suite 3, Missoula, MT 59804-5128 | |
| Hayley A Miller | Internal Medicine | Rchp Billings - Missoula LLC | 2740 S Ave W, Suite 201, Missoula, MT 59804-5135 |
| Sarah L Faaborg | Internal Medicine | Rchp Billings - Missoula LLC | 2740 S Ave W, Suite 201, Missoula, MT 59804-5135 |
| Larissa Olson | Clinical Social Worker | Rchp Billings - Missoula LLC | 2740 S Ave W, Suite 201, Missoula, MT 59804-5135 |
| Christopher L Gilbert | Family Medicine | Rchp Billings - Missoula LLC | 2740 S Ave W, Suite 201, Missoula, MT 59804-5135 |
| Find all physicians in zip 59804 | |||
| City | MISSOULA |
| Zip Code | 59804 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MISSOULA + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.