Active NPI
Jarred McDaniel, M.D.
- Plastic and Reconstructive Surgery Physician
- Bozeman, MT
National Provider Identifier
1295997344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 27907
- Practice address
- 300 N Willson Ave
Suite 300C
Bozeman, MT 59715-3551 - Phone
- (406) 577-2346
- Fax
- (866) 404-8715
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 27907 | MT | Primary |
| Plastic Surgery Physician | 208200000X | 27907 | MT |
Addresses
Primary practice location
300 N Willson Ave
Suite 300C
Bozeman, MT 59715-3551
Mailing address
PO Box 10095
Bozeman, MT 59719-0095
Phone (406) 577-2346
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
- Plastic and Reconstructive Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 Enterprise Blvd
Suite 202
Bozeman, MT 59718-5977
Phone (406) 577-2356
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27907 | MT | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Surgical PLLC | Plastic Surgery | Current | Accepting new patients |
| Pursue Wellness Chiropractic LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
203 Enterprise Blvd
Ste 202
Bozeman, MT 59718
Phone (406) 577-2346
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.
-
- Plastic Surgery Physician
- Bozeman, MT
- NPI 1255788592
-
- Plastic Surgery Physician
- Bozeman, MT
- NPI 1053019109
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Chiropractor
- Bozeman, MT
- NPI 1437668449
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1295997344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10095",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597190095",
"telephone_number": "406-577-2346",
"fax_number": "866-404-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N WILLSON AVE",
"address_2": "SUITE 300C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153551",
"telephone_number": "406-577-2346",
"fax_number": "866-404-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "JARRED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MT",
"license": "27907",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MT",
"license": "27907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.