Active NPI
Gwenda C. Jonas, M.D.
- Specialist
- Kalispell, MT
National Provider Identifier
1275558686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9764
- Practice address
- 210 Sunnyview LN Ste 201
Kalispell, MT 59901-3128 - Phone
- (406) 752-5252
- Fax
- (406) 752-5261
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9764 | MT | Primary |
Addresses
Primary practice location
210 Sunnyview LN Ste 201
Kalispell, MT 59901-3128
Mailing address
210 Sunnyview LN Ste 201
Kalispell, MT 59901-3128
Phone (406) 752-5252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92716502 | Other | MT | MONTANA BREAST & CERVICAL |
| 0069632 | Medicaid | MT | |
| 095561 | Other | MT | BCBS |
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
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
165 Commons Loop
Suite E
Kalispell, MT 59901-1919
Phone (406) 752-5252
Hospital & facility affiliations
- Logan Health Medical Center
- Logan Health - Whitefish
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9764 | MT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Kalispell, MT
- NPI 1285830646
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Surgical Oncology Physician
- Kalispell, MT
- NPI 1053790063
Hospital
-
- Maternal & Fetal Medicine Physician
- Kalispell, MT
- NPI 1053798710
Hospital
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Kalispell, MT
- NPI 1477989770
Hospital
-
- Hematology & Oncology Physician
- Kalispell, MT
- NPI 1891151122
Hospital
-
- Obstetrics & Gynecology Physician
- Kalispell, MT
- NPI 1972982981
Hospital
-
- Critical Access Hospital
- Whitefish, MT
- NPI 1396710851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275558686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SUNNYVIEW LN STE 201",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013128",
"telephone_number": "406-752-5252",
"fax_number": "406-752-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SUNNYVIEW LN STE 201",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013128",
"telephone_number": "406-752-5252",
"fax_number": "406-752-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "GWENDA",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "9764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA BREAST & CERVICAL",
"identifier": "92716502",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069632",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "095561",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- 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.
- 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.