Helena Dermatology & Laser Clinic, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HELENA DERMATOLOGY & LASER CLINIC, P.C.

Practice address

1 Medical Park Dr
Helena, MT 59601-8022

Phone

(406) 443-7200

Fax

(406) 443-7201

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Latha Sree Vellanki, M.D.

Title

President

Phone

(406) 443-7200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Lura A Brown, PA-C

  • Physician Assistant
  • Helena, MT
  • NPI 1073799755
  NPD (past)
• Megan Gittings, APRN

  • Family Nurse Practitioner
  • Helena, MT
  • NPI 1790877793
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1003902909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241188",
            "telephone_number": "406-443-7210",
            "fax_number": "406-443-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018022",
            "telephone_number": "406-443-7200",
            "fax_number": "406-443-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA DERMATOLOGY & LASER CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "VELLANKI",
        "authorized_official_first_name": "LATHA",
        "authorized_official_middle_name": "SREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-443-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000092195",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAR",
            "identifier": "DD8895",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David B Heetderks, MD
• Doris S Heffner, MSW LCSW
• Jesse Miller Mumford Heide, LCSW
• Helena Chiropractic Center PLLC
• Helena Denture Clinic, PLLC
• Helena East of Cascadia, LLC
• Helena Eye Clinic PC
• Helena Family Dentistry, PLLC
• Helena Foot Specialists LLC
• Helena Home Health

• Dermatology Physician in Helena, MT
• Providers in Helena, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.