Kalispell Obstetrics & Gynecology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KALISPELL OBSTETRICS & GYNECOLOGY PLLC

Practice address

165 Commons Loop Ste E
Kalispell, MT 59901-1919

Phone

(406) 752-5252

Fax

(406) 752-5261

NPI assigned

Jun 22, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Hayley K Beattie

Title

Office Manager

Phone

(406) 758-2620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Marie Shanahan, WHCNP

  • Women's Health Nurse Practitioner
  • Kalispell, MT
  • NPI 1841227303
  Medicare reassignment Care Compare group NPD
• Gwenda C. Jonas, M.D.

  • Specialist
  • Kalispell, MT
  • NPI 1275558686
  Medicare reassignment Care Compare group
• Marci Rae Mangold, PAC

  • Physician Assistant
  • Kalispell, MT
  • NPI 1932262052
  Medicare reassignment Care Compare group
• Kaycee L McIntosh, PA-C

  • Physician Assistant
  • Kalispell, MT
  • NPI 1093082638
  Medicare reassignment Care Compare group
• Erin Caitlin Lauer, MD

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1326493727
  Medicare reassignment NPD
• Haley C Peters, FNP-BC

  • Nurse Practitioner
  • Kalispell, MT
  • NPI 1194492827
  Medicare reassignment NPD
• Austin Rusher, WHNP

  • Women's Health Nurse Practitioner
  • Kalispell, MT
  • NPI 1578165445
  Medicare reassignment NPD
• Thomas A. Dehoop, M.D.

  • Obstetrics Physician
  • Kalispell, MT
  • NPI 1720023138
  Medicare reassignment
• Jenna R Huff, MD

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1154565570
  Medicare reassignment
• Kathleen G. Nelson, M.D.

  • Specialist
  • Kalispell, MT
  • NPI 1518982917
  Medicare reassignment

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1285830646",
    "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": "165 COMMONS LOOP STE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011919",
            "telephone_number": "406-752-5252",
            "fax_number": "406-752-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL OBSTETRICS & GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-758-2620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalispell Gastroenterology,PC
• Kalispell Kidds
• Kalispell Medical Offices
• Kalispell Medical Oncology, PLLP
• Kalispell Midwives & Womens Health Inc
• Kalispell Optometry PLLC
• Kalispell Oral Surgery Center LLC
• Kalispell Public Schools
• Kalispell Reginal Medical Center (The Clinic at Wal-Mart by KRMC)
• Kalispell Regional Healthcare

• Specialist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.