Catherine Ina Ebelke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

202 Issued in MT

Practice address

Swingle Student Health Center Montana State University
Bozeman, MT 59717-3260

Phone

(406) 994-2311

Fax

(406) 994-2504

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montana State University

  • Clinic Pharmacy
  • Bozeman, MT
  • NPI 1073653218
  NPD (past)
• Student Health Service

  • Student Health Clinic/Center
  • Bozeman, MT
  • NPI 1407123193
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902972862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SWINGLE STUDENT HEALTH CENTER MONTANA STATE UNIVERSITY",
            "address_2": "PO BOX 173260",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597173260",
            "telephone_number": "406-994-2311",
            "fax_number": "406-994-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SWINGLE STUDENT HEALTH CENTER MONTANA STATE UNIVERSITY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597173260",
            "telephone_number": "406-994-2311",
            "fax_number": "406-994-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELKE",
        "first_name": "CATHERINE",
        "middle_name": "INA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Jeanne Eckstein, NP
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• Physician Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.