Harry Stough Etter Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5066 Issued in MT

Practice address

Blackfeet Community Hospital
760 Hospital Way
Browning, MT 59417

Phone

(406) 338-6164

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164582847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 TERRACE RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017431",
            "telephone_number": "406-755-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLACKFEET COMMUNITY HOSPITAL",
            "address_2": "760 HOSPITAL WAY",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "HARRY",
        "middle_name": "STOUGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Kay Dubray, RN
• Zelma Marie Ducharme
• Linda Lee Dusterhoff, ARNP-BC FNP
• Eagle Calf Technical Corporation
• Brian Erickson, R.N.
• Crystal Rose Evans, PH.D.
• Margaret Mary Evans, LPN
• Leilani Anne Farbstein, R.N.
• Chief Holystar Fish, COUNSELOR
• Dana Jo Fish

• Internal Medicine Physician in Browning, MT
• Providers in Browning, MT by specialty
• Internal Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.