Individual provider Active NPI

Scott Allen Pocha, PA-C

  • Physician Assistant
  • Fort Harrison, MT
National Provider Identifier
1508889288
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
105 Issued in MT
Practice address
1892 Veterans Way
Fort Harrison, MT 59636
Phone
(406) 447-7483
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 105 MT Primary

Addresses

Primary practice location

1892 Veterans Way
Fort Harrison, MT 59636

Mailing address

6210 Dairy Dr
Helena, MT 59602-6527
Phone (406) 458-8197

Other practice location 1

600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spocha3106959@wm.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000051 MT Practitioner - Physician Assistant 7214018613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
105MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Hospital Development Corporation CurrentSince Jan 14, 2024 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 14, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Helena Urgent Care, PC Past Accepting new patients

Locations

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1508889288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 DAIRY DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596026527",
            "telephone_number": "406-458-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 VETERANS WAY",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "59636",
            "telephone_number": "406-447-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mt Highway 91 S",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "MT",
            "postal_code": "597257379",
            "country_code": "US",
            "telephone_number": "406-683-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POCHA",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spocha3106959@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Harrison, MT

Sources for this page

Verify at the official NPI Registry.