Individual provider Active NPI

Ronald Hamm, PA

  • Medical Physician Assistant
  • White Sulphur Springs, MT
National Provider Identifier
1003893033
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
162 Issued in MT
Practice address
16 W Main St
White Sulphur Springs, MT 59645-9036
Phone
(406) 547-3321
Fax
(406) 547-3298
NPI assigned
Dec 30, 2005
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 162 MT Primary

Addresses

Primary practice location

16 W Main St
White Sulphur Springs, MT 59645-9036

Mailing address

16 W Main St
White Sulphur Springs, MT 59645-9036
Phone (406) 547-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000703 MT Practitioner - Physician Assistant 5991696064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite County Hospital DistrictGroup PAC ID 3678480423, 10 clinicians

Practice addresses (Care Compare)

PO Box
Philipsburg, MT 59858-0729

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
162MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Granite County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Granite County Hospital District Past Accepting new patients
Ihc-Swedishamerican Emergency Physicians, LLC PastSince Dec 15, 2019 Accepting new patients
Freeport Memorial Hospital Past Accepting new patients
Ortho Rehab Specialists PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15204/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/mvmedc-7a318021
  • Direct secure messaging: ronald.hamm.1@15204.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1003893033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "MT",
            "postal_code": "596459036",
            "telephone_number": "406-547-3321",
            "fax_number": "406-547-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "MT",
            "postal_code": "596459036",
            "telephone_number": "406-547-3321",
            "fax_number": "406-547-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "RONALD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, MT

Sources for this page

Verify at the official NPI Registry.