Active NPI
Susan J Effertz, MD
- Hospitalist Physician
- Helena, MT
National Provider Identifier
1275534166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4673
- Practice address
- 3687 Veterans Drive
Fort Harrison
Helena, MT 59636-1500 - Phone
- (877) 468-8387
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4673 | MT | Primary |
Addresses
Primary practice location
3687 Veterans Drive
Fort Harrison
Helena, MT 59636-1500
Mailing address
6 Bear Paw PL
Great Falls, MT 59404-6438
Phone (406) 727-2442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065078 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4673 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Whitefish | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Health Rural Health Clinic- Eureka
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1275534166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BEAR PAW PL",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594046438",
"telephone_number": "406-727-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 VETERANS DRIVE",
"address_2": "FORT HARRISON",
"city": "HELENA",
"state": "MT",
"postal_code": "596361500",
"telephone_number": "877-468-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFFERTZ",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "4673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065078",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
- Andrew Edgar, LCPC
- Dustin William Edgerton, LMFT
- Edgewood Helena Senior Living LLC
- Amber Ediger, NBC-HWC
- Katherine Trahan Edwards, FNP-C
- Eh Health Home Health of the Northwest, LLC (Enhabit Home Health)
- Eh Health Hospice of the Northwest, LLC (Enhabit Hospice)
- Mark E. Eichler, RPH
- Alyne Eickert
- Jennifer Lauren Eisenhart, MBA, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.