Individual provider Active NPI

Courtney Iverson Hathaway, MD

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1326484130
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76208 Issued in MT
Practice address
2835 Fort Missoula Rd Ste 303
Missoula, MT 59804-7424
Phone
(406) 926-1088
Fax
(406) 926-1087
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76208 MT Primary

Addresses

Primary practice location

2835 Fort Missoula Rd Ste 303
Missoula, MT 59804-7424

Mailing address

2835 Fort Missoula Rd Ste 303
Missoula, MT 59804-7424
Phone (406) 926-1088

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614000412 MT Practitioner - Family Practice 1850523317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott C Wyman MD PCGroup PAC ID 8820305485, 6 clinicians

Practice addresses (Care Compare)

2835 Fort Missoula Rd
Suite 305
Missoula, MT 59804-7424
Phone (406) 926-1088

Hospital & facility affiliations

  • Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76208MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C Wyman MD PC Family Medicine CurrentSince Jun 20, 2022 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients

Locations

2835 Fort Missoula Rd
Ste 303
Missoula, MT 59804
Phone (406) 327-3855

2835 Fort Missoula Rd
Ste 305
Missoula, MT 59804
Phone (406) 721-9999

2835 Fort Missoula Rd
Ste 30
Missoula, MT 59804

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1326484130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-926-1088",
            "fax_number": "406-926-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-926-1088",
            "fax_number": "406-926-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "COURTNEY",
        "middle_name": "IVERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "76208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.