Individual provider Active NPI

John F Calf Looking, PA-C

  • Physician Assistant
  • Port Angeles, WA
National Provider Identifier
1083774293
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-497 Issued in MT
Practice address
243511 W Highway 101
Port Angeles, WA 98363-9472
Phone
(360) 452-6252
Fax
(360) 452-6274
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MED-PAC-LIC-497 MT Primary

Addresses

Primary practice location

243511 W Highway 101
Port Angeles, WA 98363-9472

Mailing address

3055 N Reserve St
Missoula, MT 59808-1394
Phone (406) 327-1827

Other identifiers 1

IdentifierTypeStateIssuer
77535057MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000727 TX Practitioner - Physician Assistant 0547248478 Reassigns benefits to 1 organization
I20161118001578 MT Practitioner - Physician Assistant 0547248478

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

P O Box
Suite 760
Browning, MT 59417-0760

Hospital & facility affiliations

  • P H S Indian Hospital at Browning - Blackfeet Hospital, Browning, MT, CCN 270074
  • Logan Health - Shelby Hospital, Shelby, MT, CCN 271328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
623AKMDPhysical Therapist
MED-PAC-LIC-497MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Oct 16, 2006 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 16, 2006 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

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 and National Provider Directory roles.

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1083774293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081394",
            "telephone_number": "406-327-1827",
            "fax_number": "406-327-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243511 W HIGHWAY 101",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639472",
            "telephone_number": "360-452-6252",
            "fax_number": "360-452-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALF LOOKING",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77535057",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.