NPIMap

Organization Active NPI

Montana OBGYN PC

  • Clinic/Center
  • Helena, MT
National Provider Identifier
1124632047
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MONTANA OBGYN PC
Practice address
45 Medical Park Dr
Helena, MT 59601-4949
Phone
(406) 442-1914
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Alexis Rae O'Leary, DONPI 1932523545
Title
Shareholder
Phone
(406) 442-1914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

45 Medical Park Dr
Helena, MT 59601-4949

Mailing address

45 Medical Park Dr
Helena, MT 59601-4949
Phone (406) 442-1914

Other names 1

  • Helena OB/GYN, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105000622 MT Part B Supplier - Clinic/Group Practice 6800206640 Receives reassigned benefits from 10 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1124632047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-442-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-442-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "406-442-1914",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helena OB/GYN, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.