Active NPI
Whitney Kay Haseman, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MED-PHYS-LIC-89204
- Practice address
- 2875 Tina Ave Ste 102
Missoula, MT 59808-1582 - Phone
- (406) 272-3746
- Fax
- (406) 303-3308
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10094279-1205 | UT | |
| Internal Medicine Physician | 207R00000X | 10094279-8905 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MED-PHYS-LIC-89204 | MT | Primary |
Addresses
Primary practice location
2875 Tina Ave Ste 102
Missoula, MT 59808-1582
Mailing address
CPG Internal Medicine
2825 Fort Missoula Road, Building 1, Suite 217
Missoula, MT 59804
Phone (406) 327-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University of Texas Medical School at San Antonio, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2875 Tina Ave
Suite 102
Missoula, MT 59808-1582
Phone (406) 272-3746
Hospital & facility affiliations
- Partners in Home Care Inc
- Big Sky Home Health
- Hestia Home Advantage
- Community Medical Center
- St. Patrick Hospital
- Village Health & Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10094279-8905 | UT | MD | Internal Medicine Physician |
| MED-PHYS-LIC-89204 | MT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Hestia in-Home Support LLC | Current | Accepting new patients | |
| Montana Stillwater Health, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2875 Tina Ave
Ste 102
Missoula, MT 59808
Phone (406) 272-3746
2875 Tina Ave
Ste 102AB
Missoula, MT 59808
Phone (406) 272-3746
700 SW Higgins Ave
Ste 102
Missoula, MT 59803
Phone (406) 540-3402
2825 Fort Missoula Rd
Ste 217
Missoula, MT 59804
Phone (406) 327-3850
Interoperability endpoints
- msh.whitney.haseman@154231.advancedmd-direct.com
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Missoula, MT
- NPI 1144942830
-
- Family Nurse Practitioner
- Missoula, MT
- NPI 1619325016
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Missoula, MT
- NPI 1306641543
-
- Home Health Agency
- Missoula, MT
- NPI 1629135447
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1255726469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CPG INTERNAL MEDICINE",
"address_2": "2825 FORT MISSOULA ROAD, BUILDING 1, SUITE 217",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-327-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 TINA AVE STE 102",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081582",
"telephone_number": "406-272-3746",
"fax_number": "406-303-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASEMAN",
"first_name": "WHITNEY",
"middle_name": "KAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "10094279-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "10094279-8905",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-89204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.