LARRY P EBBERT MD NPI 1518058163

NPI Information

NPI: 1518058163
Provider Name: LARRY P EBBERT, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Organization: KALISPELL REGIONAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
350 HERITAGE WAY STE 1100
KALISPELL, MT
ZIP 59901
Phone: (406) 752-8900
Get Directions

Larry P Ebbert, MD is a hematology internal medicine in Kalispell, MT with 55 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Larry P Ebbert, MD NPI is 1518058163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1969

The provider's business location address is:

350 HERITAGE WAY STE 1100
KALISPELL, MT
ZIP 59901-160
Phone: (406) 752-8900
Fax: (406) 752-8909

The NPI 1518058163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	74117	SOUTH DAKOTA	No
2	207RH0000X	Internal Medicine	Hematology	2083	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2083	OTHER	SOUTH DAKOTA	DAKOTACARE
2	830007858	OTHER	SOUTH DAKOTA	RR MEDICARE
3	6002482	MEDICAID	SOUTH DAKOTA
4	0008428	OTHER	SOUTH DAKOTA	WELLMARK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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