Individual provider Active NPI

Justin Paul Hooker, DPM, MS

  • Podiatrist
  • Shelby, MT
National Provider Identifier
1013250950
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MED-POD-LIC-67915 Issued in MT
Practice address
670 Park Ave
Shelby, MT 59474
Phone
(406) 434-3110
Fax
(406) 434-3143
NPI assigned
Mar 28, 2013
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P-239 ID
Podiatrist 213E00000X MED-POD-LIC-67915 MT Primary

Addresses

Primary practice location

670 Park Ave
Shelby, MT 59474

Mailing address

PO Box 990
Shelby, MT 59474-0990
Phone (406) 434-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hookerdpmjust.hooker.p1@direct.mhsi.nextgenshare.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803002711 MT Practitioner - Podiatry 8628361136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marias Healthcare Services Inc.Group PAC ID 3577451327, 11 clinicians

Practice addresses (Care Compare)

1 4TH Ave SE
Conrad, MT 59425-2323
Phone (406) 271-2007

13 1St St S
Sunburst, MT 59482
Phone (406) 937-3300

670 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P-239IDMDPodiatrist
MED-POD-LIC-67915MTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marias Healthcare Services Inc CurrentSince Aug 1, 2018 Accepting new patients
Marias Healthcare Services Inc Multi-Specialty Current Accepting new patients
Marias Healthcare Services Inc CurrentSince Aug 1, 2018 Accepting new patients
Core Medicine Idaho, LLC Multi-Specialty PastSince Jan 21, 2024 Accepting new patients

Locations

670 Park Ave
Shelby, MT 59474
Phone (406) 434-3110

Interoperability endpoints

  • Direct secure messaging: hookerdpmjust.hooker.p1@direct.mhsi.nextgenshare.com

Organizations & group practices 4

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 1

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1013250950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594740990",
            "telephone_number": "406-434-3100",
            "fax_number": "406-434-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PARK AVE",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "59474",
            "telephone_number": "406-434-3110",
            "fax_number": "406-434-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "DPM, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P-239",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "MED-POD-LIC-67915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hookerdpmjust.hooker.p1@direct.mhsi.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NG Share / NG Patient Portal",
            "address_1": "670 Park Ave",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.