Susan J Effertz, MD
Individual provider Active NPI Hospitalist Physician · Helena, MT
NPI 1275534166 · NPPES record last updated Jul 19, 2010
Key facts
- NPI
- 1275534166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 4673 (MT)
- Practice address
- 3687 Veterans Drive
Fort Harrison
Helena, MT 59636-1500 - Phone
- (877) 468-8387
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4673 | MT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Whitefish | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4673 | MT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065078 | Medicaid | MT |
Other providers in Helena, MT
- Andrew Edgar
- Dustin William Edgerton
- Edgewood Helena Senior Living LLC
- Amber Ediger
- Katherine Trahan Edwards
- Eh Health Home Health of the Northwest, LLC
- Eh Health Hospice of the Northwest, LLC
- Mark E. Eichler
- Alyne Eickert
- Jennifer Lauren Eisenhart
All providers in Helena, MT · Hospitalist Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.