Zachary J Hovorka, D.O.
Individual provider Active NPI Surgery Physician · Ronan, MT
NPI 1134415201 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1134415201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MED-PHYS-LIC-49229 (MT)
- Practice address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Phone
- (406) 676-4441
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Community Hospital
Practice addresses (Care Compare)
126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600
Hospital & facility affiliations
- St Luke Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000197 | MT | Practitioner - General Surgery | 2668760968 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-49229 | MT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Community Hospital | Current |
Accepting new patients | |
| St Lukes Community Hospital | Current |
Accepting new patients | |
| St Lukes Community Hospital | Current |
Accepting new patients | |
| St. Lukes Community Hospital | Current | Accepting new patients |
Locations
126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MED-PHYS-LIC-49229 | MT | Yes |
Addresses
Primary practice location
107 6TH Ave SW
Ronan, MT 59864-2634
Mailing address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.