Active NPI
Jonie Myrstol Girouard, M.D.
- Family Medicine Physician
- Huntersville, NC
National Provider Identifier
1578507380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33632
- Practice address
- 15806 Brookway Dr
Suite 400
Huntersville, NC 28078 - Phone
- (704) 766-1000
- Fax
- (704) 766-1002
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33632 | IA | Primary |
Addresses
Primary practice location
15806 Brookway Dr
Suite 400
Huntersville, NC 28078
Mailing address
15806 Brookway Dr
Suite 400
Huntersville, NC 28078-3237
Phone (704) 766-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2210052 | Medicaid | MT | |
| 314566 | Other | WY | BCBS PIN |
| 0157386 | Other | MT | MDCD PIN |
| 123496000 | Other | WY | MDCD PIN |
Other names 1
- Dr. Jonie Myrstol Hines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2015 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33632 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let'Sgetthinmd, LLC | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients | |
| Michael P Girouard, MD Weight Loss and Wellness Clinic, PLLC | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Huntersville, NC
- NPI 1932444320
-
- Family Nurse Practitioner
- Casper, WY
- NPI 1407246614
-
dba Heart Butte Clinic
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1578507380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15806 BROOKWAY DR",
"address_2": "SUITE 400",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783237",
"telephone_number": "704-766-1000",
"fax_number": "704-766-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15806 BROOKWAY DR",
"address_2": "SUITE 400",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "704-766-1000",
"fax_number": "704-766-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIROUARD",
"first_name": "JONIE",
"middle_name": "MYRSTOL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "33632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2210052",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "314566",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0157386",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "123496000",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JONIE",
"last_name": "HINES",
"middle_name": "MYRSTOL",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.