John Ryan Means, MD
Individual provider Active NPI Surgery Physician · Kalispell, MT
NPI 1528099017 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1528099017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 12350 (MT)
- Practice address
- 1333 Surgical Services Way
Kalispell, MT 59901-4844 - Phone
- (406) 751-5392
- Fax
- (406) 751-5406
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Hospital of Anaconda
Practice addresses (Care Compare)
305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone (406) 563-8571
Hospital & facility affiliations
- Community Hospital of Anaconda
- St. Patrick Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000958 | MT | Practitioner - General Surgery |
5395748644 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956 | NC | MD | Behavioral Analyst |
| 12350 | MT | MD | Surgery Physician |
| 2005-00956 | NC | MD | Surgery Physician |
| MD421084 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Anaconda | Surgery | Current |
Accepting new patients |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Surgery | Current |
Accepting new patients |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
401 S Alabama St
Ste 6A
Butte, MT 59701
Phone (406) 782-2329
Interoperability endpoints
- jmeans237179@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2005-00956 | NC | |
| Surgery Physician | 208600000X | 12350 | MT | Yes |
| Surgery Physician | 208600000X | MD421084 | PA |
Addresses
Primary practice location
1333 Surgical Services Way
Kalispell, MT 59901-4844
Mailing address
1333 Surgical Services Way
Kalispell, MT 59901-4844
Phone (406) 751-5392
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
NPI Registry JSON
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1528099017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 SURGICAL SERVICES WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014844",
"telephone_number": "406-751-5392",
"fax_number": "406-751-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 SURGICAL SERVICES WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014844",
"telephone_number": "406-751-5392",
"fax_number": "406-751-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANS",
"first_name": "JOHN",
"middle_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2023-11-27",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2005-00956",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "12350",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD421084",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "1333 Surgical Services Way",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599014844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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All providers in Kalispell, MT · Surgery Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.