Montana Stillwater Health, PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MONTANA STILLWATER HEALTH, PLLC

Practice address

2875 Tina Ave Ste 102Ab
Missoula, MT 59808-1581

Phone

(406) 272-3746

Fax

(406) 303-3308

NPI assigned

Sep 19, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney Kay HasemanNPI 1255726469

Title

Owner

Phone

(406) 272-3746

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Whitney Kay Haseman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Missoula, MT
  • NPI 1255726469
  Medicare reassignment Care Compare group NPD Authorized official
• Alaina Cole

  • Nurse Practitioner
  • Missoula, MT
  • NPI 1649032731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1144942830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17521",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 102AB",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-272-3746",
            "fax_number": "406-303-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA STILLWATER HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HASEMAN",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-272-3746"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.