| Sidney Health Center Clinic | |
|
214 14th Ave Sw Ste 107 Sidney MT 59270-3521 | |
| (406) 488-2169 | |
| (406) 488-2149 |
| Full Name | Sidney Health Center Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 214 14th Ave Sw, Sidney, Montana |
| Authorized Official Name and Position | Tina Montgomery (SENIOR EXECUTIVE, FINANCE/CFO) |
| Authorized Official Contact | 4064882117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney Health Center Clinic 214 14th Ave Sw Ste 107 Sidney MT 59270-3521 Ph: (406) 488-2169 | Sidney Health Center Clinic 214 14th Ave Sw Ste 107 Sidney MT 59270-3521 Ph: (406) 488-2169 |
| NPI Number | 1376617191 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 0749181535 |
|---|---|
| Medicare Enrollment ID | O20040115000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376617191 | NPI | - | NPPES |
| 000082342 | Other | MT | BLUE CROSS OF MT |
| 15860 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Barbara Lundemo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396722963 PECOS PAC ID: 0749269496 Enrollment ID: I20040715001294 |
| Provider Name | Brett R Bennion |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275616104 PECOS PAC ID: 2961462460 Enrollment ID: I20041018001086 |
| Provider Name | Leszek J Jaszczak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467528455 PECOS PAC ID: 1456243922 Enrollment ID: I20041116001296 |
| Provider Name | Rajohn Karanjai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407929524 PECOS PAC ID: 8527019736 Enrollment ID: I20050207000900 |
| Provider Name | Patti L Iversen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598838666 PECOS PAC ID: 6103878707 Enrollment ID: I20050211000243 |
| Provider Name | James E Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134111750 PECOS PAC ID: 1153215082 Enrollment ID: I20050329001089 |
| Provider Name | Jerome A Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942551106 PECOS PAC ID: 6002856465 Enrollment ID: I20050505000525 |
| Provider Name | Frank M Rembert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407818693 PECOS PAC ID: 1951385145 Enrollment ID: I20050801000940 |
| Provider Name | Janie R Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275640757 PECOS PAC ID: 1052308061 Enrollment ID: I20051129000878 |
| Provider Name | Lisa Rene Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831181924 PECOS PAC ID: 2567433154 Enrollment ID: I20060403000398 |
| Provider Name | Matthew Eli Wolpoe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417025206 PECOS PAC ID: 6800990730 Enrollment ID: I20070625000145 |
| Provider Name | Orin P Council |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740326859 PECOS PAC ID: 4981778446 Enrollment ID: I20080731000368 |
| Provider Name | Ashley R Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679734537 PECOS PAC ID: 6507930005 Enrollment ID: I20080731000782 |
| Provider Name | John Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306929252 PECOS PAC ID: 9234294703 Enrollment ID: I20090217000294 |
| Provider Name | Jeremy Carlisle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437398229 PECOS PAC ID: 4284781659 Enrollment ID: I20090422000368 |
| Provider Name | Jacquelyn K Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336302736 PECOS PAC ID: 7719052067 Enrollment ID: I20100106000161 |
| Provider Name | Michael D Lapan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811981681 PECOS PAC ID: 1658415849 Enrollment ID: I20100226000047 |
| Provider Name | James Peter Heyboer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255548442 PECOS PAC ID: 0042335903 Enrollment ID: I20100915000669 |
| Provider Name | Wendy Wiltzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609949767 PECOS PAC ID: 8921291907 Enrollment ID: I20101022000324 |
| Provider Name | Ralf Klaus Kiehl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760483788 PECOS PAC ID: 3072795616 Enrollment ID: I20110303000381 |
| Provider Name | Shari Jean Twigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689871204 PECOS PAC ID: 8426227059 Enrollment ID: I20110816000257 |
| Provider Name | Robert H Joseph |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750324349 PECOS PAC ID: 9638270135 Enrollment ID: I20130206000155 |
| Provider Name | Charlene Pontoriero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457424244 PECOS PAC ID: 6608939038 Enrollment ID: I20140602000624 |
| Provider Name | Eric R Sigmond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699748566 PECOS PAC ID: 4789659541 Enrollment ID: I20140922002792 |
| Provider Name | Janet Isaacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386662393 PECOS PAC ID: 2062411838 Enrollment ID: I20151005001297 |
| Provider Name | Andrew Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164521977 PECOS PAC ID: 8325144801 Enrollment ID: I20151111001909 |
| Provider Name | Dawn C Mccartney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700953726 PECOS PAC ID: 4183605652 Enrollment ID: I20160202002106 |
| Provider Name | Malua Tambi Iya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326375270 PECOS PAC ID: 8820224645 Enrollment ID: I20160801000594 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20161006002221 |
| Provider Name | Robert L Ledda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487712360 PECOS PAC ID: 8527225168 Enrollment ID: I20161214002135 |
| Provider Name | Berna Roig Demalignon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770560948 PECOS PAC ID: 0749252666 Enrollment ID: I20170421001550 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20170703000185 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20170717000900 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20170719000145 |
| Provider Name | Kimberley Sloan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861455198 PECOS PAC ID: 3678598869 Enrollment ID: I20170724001299 |
| Provider Name | Gregg Sydow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619157609 PECOS PAC ID: 6002057296 Enrollment ID: I20170726000621 |
| Provider Name | Nicole Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20170804001486 |
| Provider Name | Christian Vankirk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942430004 PECOS PAC ID: 8628101912 Enrollment ID: I20170807002201 |
| Provider Name | Larry Kessler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033197652 PECOS PAC ID: 5698666501 Enrollment ID: I20170808000212 |
| Provider Name | Adam Hecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619957834 PECOS PAC ID: 4587695085 Enrollment ID: I20170815001822 |
| Provider Name | Sam Siu Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467430082 PECOS PAC ID: 5991696882 Enrollment ID: I20170915000535 |
| Provider Name | Clarence Coolidge Coleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528058096 PECOS PAC ID: 2264491828 Enrollment ID: I20170921001406 |
| Provider Name | Christine Lamoureux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275578593 PECOS PAC ID: 8729978499 Enrollment ID: I20171102000768 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20171201002744 |
| Provider Name | Chad A Pedersen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881857019 PECOS PAC ID: 6800065137 Enrollment ID: I20171205000818 |
| Provider Name | Jamie Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20180116002637 |
| Provider Name | Surinder Rai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275950925 PECOS PAC ID: 3971814955 Enrollment ID: I20180319001645 |
| Provider Name | Robert E Dowling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194740183 PECOS PAC ID: 0446277461 Enrollment ID: I20180403001348 |
| Provider Name | Jennifer Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770540254 PECOS PAC ID: 0143201913 Enrollment ID: I20181011002333 |
| Provider Name | Scott Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790733822 PECOS PAC ID: 7214017995 Enrollment ID: I20181219002038 |
| Provider Name | Karen S Caldemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679511356 PECOS PAC ID: 9931003506 Enrollment ID: I20190123003153 |
| Provider Name | Kedar Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588620686 PECOS PAC ID: 0244138337 Enrollment ID: I20190123003244 |
| Provider Name | Michael Rethy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689601502 PECOS PAC ID: 4880635630 Enrollment ID: I20190124002496 |
| Provider Name | David F Tague |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841219508 PECOS PAC ID: 2769470418 Enrollment ID: I20190125001381 |
| Provider Name | Alison Haimes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669459392 PECOS PAC ID: 9032304480 Enrollment ID: I20190125001429 |
| Provider Name | Benjamin Bak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821059767 PECOS PAC ID: 7315905528 Enrollment ID: I20190131001162 |
| Provider Name | Vibhu Kapoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952499048 PECOS PAC ID: 2668408089 Enrollment ID: I20190131002314 |
| Provider Name | Harvey Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841282423 PECOS PAC ID: 3476505140 Enrollment ID: I20190201001646 |
| Provider Name | Andrew L Tievsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861458788 PECOS PAC ID: 6507779048 Enrollment ID: I20190205003334 |
| Provider Name | Sara Banerjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194928416 PECOS PAC ID: 2860525052 Enrollment ID: I20190206000109 |
| Provider Name | Benjamin Strong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205811569 PECOS PAC ID: 8426048232 Enrollment ID: I20190206003151 |
| Provider Name | Alan Pratt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922046135 PECOS PAC ID: 7416981063 Enrollment ID: I20190211001495 |
| Provider Name | Sulekha Parshad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679569578 PECOS PAC ID: 7810970225 Enrollment ID: I20190212001297 |
| Provider Name | Richard M Slone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346225166 PECOS PAC ID: 7113904764 Enrollment ID: I20190213000506 |
| Provider Name | Ronald Sonken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457359630 PECOS PAC ID: 5294719621 Enrollment ID: I20190213000614 |
| Provider Name | Paul F Ploegman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871517466 PECOS PAC ID: 1658630504 Enrollment ID: I20190213002462 |
| Provider Name | Blake Poleynard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508865510 PECOS PAC ID: 4981647674 Enrollment ID: I20190215000868 |
| Provider Name | Joshua Morais |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669674651 PECOS PAC ID: 5991855017 Enrollment ID: I20190219001004 |
| Provider Name | Kristi Sobota |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083661649 PECOS PAC ID: 4284639675 Enrollment ID: I20190219002535 |
| Provider Name | Matthew Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174859284 PECOS PAC ID: 4183866981 Enrollment ID: I20190701001671 |
| Provider Name | Donald J Bitto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619032661 PECOS PAC ID: 8224198999 Enrollment ID: I20190708001543 |
| Provider Name | Tyler Slyngstad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495104 PECOS PAC ID: 5597054494 Enrollment ID: I20190814000284 |
| Provider Name | Barbara Lundemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396722963 PECOS PAC ID: 0749269496 Enrollment ID: I20191101001176 |
| Provider Name | Catherine C Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518940428 PECOS PAC ID: 6608935630 Enrollment ID: I20200402002954 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20200416001967 |
| Provider Name | Deborah Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891717112 PECOS PAC ID: 5294717591 Enrollment ID: I20200422001667 |
| Provider Name | Kevin F Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063400679 PECOS PAC ID: 5597845602 Enrollment ID: I20200528000497 |
| Provider Name | Shaden F Mohammad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235370800 PECOS PAC ID: 9335285519 Enrollment ID: I20200529000636 |
| Provider Name | Noel Nguewoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275072456 PECOS PAC ID: 1153747530 Enrollment ID: I20200817000219 |
| Provider Name | Andre J Duerinckx |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760434625 PECOS PAC ID: 4486639739 Enrollment ID: I20201102002404 |
| Provider Name | Michael P Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245264399 PECOS PAC ID: 7012948961 Enrollment ID: I20210507001593 |
| Provider Name | Michael Frederick Bloss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801854732 PECOS PAC ID: 5597728097 Enrollment ID: I20210517002154 |
| Provider Name | Jacob P Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275801870 PECOS PAC ID: 9032377544 Enrollment ID: I20210607002978 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210628002767 |
| Provider Name | Richard C Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134100589 PECOS PAC ID: 3678584364 Enrollment ID: I20210810004135 |
| Provider Name | Jason A. Tranquill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750536579 PECOS PAC ID: 1850458159 Enrollment ID: I20210903001309 |
| Provider Name | Peter Deveaux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336102227 PECOS PAC ID: 2769623487 Enrollment ID: I20211102002268 |
| Provider Name | Claudia Zacharias |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972863934 PECOS PAC ID: 0244548170 Enrollment ID: I20211209001429 |
| Provider Name | Omar Ricardo Chavez-ramones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487774311 PECOS PAC ID: 4486749363 Enrollment ID: I20211215001135 |
| Provider Name | Gerald Yutzy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821049420 PECOS PAC ID: 3779479332 Enrollment ID: I20220107002008 |
| Provider Name | Douglas Dawson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275519043 PECOS PAC ID: 7719924117 Enrollment ID: I20220111000291 |
| Provider Name | Kristan V. Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730188541 PECOS PAC ID: 5799784716 Enrollment ID: I20220117000288 |
| Provider Name | David Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942668678 PECOS PAC ID: 0244539427 Enrollment ID: I20220131001572 |
| Provider Name | Sarah Farrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083373369 PECOS PAC ID: 3678966637 Enrollment ID: I20220215002046 |
| Provider Name | Lawerence Ngo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457738072 PECOS PAC ID: 1153639497 Enrollment ID: I20220221001904 |
| Provider Name | Adam Hyde Milton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033861679 PECOS PAC ID: 7517351943 Enrollment ID: I20220301002578 |
| Provider Name | John Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710202536 PECOS PAC ID: 8325217664 Enrollment ID: I20220317002425 |
| Provider Name | Robert Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750322947 PECOS PAC ID: 0042290629 Enrollment ID: I20220420000897 |
| Provider Name | Christopher S Lawton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285673293 PECOS PAC ID: 1052375508 Enrollment ID: I20220429001077 |
| Provider Name | Peter D Zuehlke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477531564 PECOS PAC ID: 7012907942 Enrollment ID: I20220429001503 |
| Provider Name | Shwan Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417901877 PECOS PAC ID: 0345258976 Enrollment ID: I20220614002469 |
| Provider Name | Donald J Kash |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952406837 PECOS PAC ID: 9830163047 Enrollment ID: I20220705000627 |
| Provider Name | Susan Marie Swayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184618928 PECOS PAC ID: 4789908195 Enrollment ID: I20220815002788 |
| Provider Name | Mitchell D Mcfarland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326535097 PECOS PAC ID: 9335403666 Enrollment ID: I20220826000447 |
| Provider Name | Jennifer Lyn Gravos-bauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679138242 PECOS PAC ID: 5496130247 Enrollment ID: I20220915001440 |
| Provider Name | Ty Ovella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730156498 PECOS PAC ID: 2769389980 Enrollment ID: I20221012004188 |
| Provider Name | Gabriela Santos Nunez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710354352 PECOS PAC ID: 9638477581 Enrollment ID: I20221013003230 |
| Provider Name | Christine Hoglund |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184600926 PECOS PAC ID: 7416120654 Enrollment ID: I20221108002764 |
| Provider Name | Steven Mszyco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447613005 PECOS PAC ID: 1557659208 Enrollment ID: I20221123001640 |
| Provider Name | Heather G Wilks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538409370 PECOS PAC ID: 6305082140 Enrollment ID: I20230105000448 |
| Provider Name | Thomas Orsini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568415727 PECOS PAC ID: 4880669589 Enrollment ID: I20230202002821 |
| Provider Name | Andre L Chartier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134414527 PECOS PAC ID: 5193065183 Enrollment ID: I20230202002853 |
| Provider Name | Megen M Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447694112 PECOS PAC ID: 7012156888 Enrollment ID: I20230213001214 |
| Provider Name | John C Neely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528292471 PECOS PAC ID: 3072779859 Enrollment ID: I20230223002629 |
| Provider Name | Jason P Salber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578510772 PECOS PAC ID: 1052217999 Enrollment ID: I20230324001392 |
| Provider Name | Guillermo Jimenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154570984 PECOS PAC ID: 8921395617 Enrollment ID: I20230327002730 |
| Provider Name | Dennis Dejesus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629067327 PECOS PAC ID: 3476508193 Enrollment ID: I20230328000941 |
| Provider Name | Jesse Atwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700894664 PECOS PAC ID: 5294750915 Enrollment ID: I20230412002520 |
| Provider Name | Beverly Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871566992 PECOS PAC ID: 2961689492 Enrollment ID: I20230510000691 |
| Provider Name | Daniel David Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528028156 PECOS PAC ID: 6800949751 Enrollment ID: I20230523002133 |
| Provider Name | Edward Bergin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982100988 PECOS PAC ID: 4587915061 Enrollment ID: I20230613001440 |
| Provider Name | James Lester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952321309 PECOS PAC ID: 0446279566 Enrollment ID: I20230626001067 |
| Provider Name | Eric Martin English |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710024252 PECOS PAC ID: 9436200193 Enrollment ID: I20230725003857 |
| Provider Name | Aaron Franke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730568403 PECOS PAC ID: 2668788464 Enrollment ID: I20230815001425 |
| Provider Name | Tomy Kalapparambath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558388330 PECOS PAC ID: 3375547268 Enrollment ID: I20230817002862 |
| Provider Name | Jahinover Mazo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427554872 PECOS PAC ID: 1456698497 Enrollment ID: I20230821002096 |
| Provider Name | Teresa Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669492237 PECOS PAC ID: 3173621174 Enrollment ID: I20230825003433 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20230915003040 |
| Provider Name | Amy M Federico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316955925 PECOS PAC ID: 0244234490 Enrollment ID: I20230919002344 |
| Provider Name | Byron Mark Vance |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235212366 PECOS PAC ID: 0143215541 Enrollment ID: I20231009003219 |
| Provider Name | Mark Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598791535 PECOS PAC ID: 4385698588 Enrollment ID: I20231011000392 |
| Provider Name | Lynn Ivey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477930162 PECOS PAC ID: 9032423496 Enrollment ID: I20231011002581 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114176906 PECOS PAC ID: 3779737812 Enrollment ID: I20231011002996 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20231116002225 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20240103000658 |
| Provider Name | Cory Franklin Briscoe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558710889 PECOS PAC ID: 0749574168 Enrollment ID: I20240103003951 |
| Provider Name | Patrick Mulligan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710321138 PECOS PAC ID: 2062845886 Enrollment ID: I20240117000252 |
| Provider Name | Kyle Keinath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356704050 PECOS PAC ID: 4486001252 Enrollment ID: I20240126003019 |
| Provider Name | Horatio Yeung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083726053 PECOS PAC ID: 8224053632 Enrollment ID: I20240126003524 |
| Provider Name | Dana Kerr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497251466 PECOS PAC ID: 4587020888 Enrollment ID: I20240128000020 |
| Provider Name | Craig T White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003167925 PECOS PAC ID: 1052563699 Enrollment ID: I20240131000954 |
| Provider Name | Amirtha Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568838720 PECOS PAC ID: 1254628472 Enrollment ID: I20240202002540 |
| Provider Name | Nathan Crabtree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326484197 PECOS PAC ID: 5496995482 Enrollment ID: I20240208004072 |
| Provider Name | Karen Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20240215004475 |
| Provider Name | Troy Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821046442 PECOS PAC ID: 4082614284 Enrollment ID: I20240305001608 |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20240306001961 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20240308001729 |
| Provider Name | Angela Ekeresi Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114196995 PECOS PAC ID: 0547386054 Enrollment ID: I20240311003200 |
| Provider Name | Stephanie Ann Bennington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619453040 PECOS PAC ID: 8426300872 Enrollment ID: I20240325002706 |
| Provider Name | Sridhar Naidu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629236690 PECOS PAC ID: 3274549423 Enrollment ID: I20240325003238 |
| Provider Name | Kimberly Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689838799 PECOS PAC ID: 0648336842 Enrollment ID: I20240325003292 |
| Provider Name | Steven Sharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366890857 PECOS PAC ID: 9436443256 Enrollment ID: I20240329000669 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20240417003218 |
| Provider Name | Joy Neyhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255433942 PECOS PAC ID: 7618271552 Enrollment ID: I20240423001455 |
Rajohn Karanjai, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 14th Ave Sw, Suite 110, Sidney, MT 59270 Phone: 406-488-2560 Fax: 406-488-2549 | |
Edward L Pierce Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 14th Ave Sw, Suite 112, Sidney, MT 59270 Phone: 406-488-2231 Fax: 406-488-2520 | |
Carlos F. Trevino, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 12th Ave Sw, Sidney, MT 59270 Phone: 406-488-2574 Fax: 406-488-5514 | |
River Valley Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 S Central Ave, Sidney, MT 59270 Phone: 406-433-7300 Fax: 406-433-7310 | |
O Pete Council Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 14th Ave Sw, Sidney, MT 59270 Phone: 406-488-2370 | |
Allcheck Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 N Central Ave, Sidney, MT 59270 Phone: 406-488-5500 Fax: 406-488-5499 |