Individual provider Active NPI

Melonie Parmley, D.O.

  • General Practice Physician
  • Great Falls, MT
National Provider Identifier
1336426196
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MED-PHYS-LIC-92112 Issued in MT
Practice address
2 5TH St N Ste 204
Great Falls, MT 59401-4011
Phone
(406) 750-8280
Fax
(406) 205-0700
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 01022020999 VA
General Practice Physician 208D00000X 0102202999 VA
General Practice Physician 208D00000X MED-PHYS-LIC-92112 MT Primary

Addresses

Primary practice location

2 5TH St N Ste 204
Great Falls, MT 59401-4011

Mailing address

2 5TH St N Ste 204
Great Falls, MT 59401-4011
Phone (406) 750-8280

Other practice location 1

7321 Balmer St
Hill AFB, UT 84056-5012
Phone (801) 777-4710

Other practice location 2

7300 N Perimeter Rd
Flight/Missile Medicine
Malmstrom AFB, MT 59402-6701
Phone (406) 731-4448

Other names 1

  • Melonie Hurst Other name

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
I20211117001452 MT Practitioner - General Practice 4981847795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Medical ClinicGroup PAC ID 1557725934, 2 clinicians

Practice addresses (Care Compare)

2 5TH St N
Suite 204
Great Falls, MT 59401-4011
Phone (406) 750-8280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01022020999VAMDAerospace Medicine Physician
MED-PHYS-LIC-92112MTMDGeneral Practice Physician
0102202999VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Medical Clinic General Practice CurrentSince Jul 22, 2023 Accepting new patients

Locations

2 5th St N
Ste 201
Great Falls, MT 59401
Phone (406) 781-4414

2 5th St N
Ste 204
Great Falls, MT 59401
Phone (406) 727-5046

Organizations & group practices 1

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 4

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1336426196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 5TH ST N STE 204",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594014011",
            "telephone_number": "406-750-8280",
            "fax_number": "406-205-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 5TH ST N STE 204",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594014011",
            "telephone_number": "406-750-8280",
            "fax_number": "406-205-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7321 Balmer St",
            "address_purpose": "LOCATION",
            "city": "Hill AFB",
            "state": "UT",
            "postal_code": "840565012",
            "country_code": "US",
            "telephone_number": "801-777-4710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 N Perimeter Rd",
            "address_2": "Flight/Missile Medicine",
            "address_purpose": "LOCATION",
            "city": "Malmstrom AFB",
            "state": "MT",
            "postal_code": "594026701",
            "country_code": "US",
            "telephone_number": "406-731-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARMLEY",
        "first_name": "MELONIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "01022020999",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102202999",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "MED-PHYS-LIC-92112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELONIE",
            "last_name": "HURST",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.