Healogics Specialty Physicians of Montana, PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC

Practice address

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Phone

(406) 327-4514

Fax

(406) 327-3974

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Frank Williams

Title

Ceo

Phone

(904) 446-3519

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William V Huval, MD

  • Surgery Physician
  • Great Falls, MT
  • NPI 1124061411
  Medicare reassignment NPD
• Matt Ryan McNutt, FNP

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1134515927
  Medicare reassignment NPD
• Timothy Bradford Richards, M.D.

  • Surgery Physician
  • Missoula, MT
  • NPI 1841283785
  Medicare reassignment NPD
• Kristi Richards, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1700266251

  MT

  Medicare reassignment NPD
• Brianna Mew, D.O.

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1972982288
  NPD (past)
• Melanie Marie Scott, DO

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1710515192
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1386199933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "SUITE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-4514",
            "fax_number": "406-327-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-446-3519"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386199933",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Jean Head, DPT
• Dana Headapohl
• Robert Andrew Headley, M.D.
• Michelle Faith Heald, LCSW
• Healing Homes Counseling Services
• Health Solutions PLLC
• Healthspan Fitness and Nutrition
• Matthew L Heaphy, DDS
• Patrick Joseph Heaphy, D.M.D.
• Hear Montana, Inc

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.