Stillwater Surgical PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

STILLWATER SURGICAL PLLC

Practice address

203 Enterprise Blvd.
Suite 102
Bozeman, MT 59718-5971

Phone

(406) 577-2346

NPI assigned

Feb 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charity Michalson

Title

Manager

Phone

(406) 577-2346

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarred McDaniel, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Bozeman, MT
  • NPI 1295997344

  Plastic Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1053019109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ENTERPRISE BLVD.",
            "address_2": "SUITE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-577-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ENTERPRISE BLVD.",
            "address_2": "SUITE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185971",
            "telephone_number": "406-577-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MICHALSON",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-577-2346"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne E Stevenson, PT
• Edward Stevenson, DPT
• Madison Nicole Stewart, BHPS
• Richard Stewart, NP
• Lili Ann Stiff, LCPC
• Connor Stine, DC
• Katelyn Louise Stites
• Todd A. Stivland, MD
• Rebecca Marie Stokes, PCLC 37573
• Hannah Poarch Stone, DDS

• Plastic Surgery Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Plastic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.