Northwest Health PLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHWEST HEALTH PLC

Doing business as

Northwest ENT

Practice address

2952 Technology Blvd W Ste 217
Bozeman, MT 59718-4145

Phone

(406) 414-6607

Fax

(406) 604-9061

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Stephenson, DONPI 1548653850

Title

Majority Owner

Phone

(732) 948-6159

Specialties & licenses 1

Addresses

Other names 1

• Northwest ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Stephenson, D.O.

  • Otolaryngology Physician
  • Bozeman, MT
  • NPI 1548653850
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Jean Stephenson, DO

  • Surgery Physician
  • Bozeman, MT
  • NPI 1952793895
  Care Compare group NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1588424345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BLACK BULL TRL",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189686",
            "telephone_number": "732-948-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 TECHNOLOGY BLVD W STE 217",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184145",
            "telephone_number": "406-414-6607",
            "fax_number": "406-604-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MAJORITY OWNER",
        "authorized_official_telephone_number": "732-948-6159",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Otolaryngology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.