Active NPI
Allie Maffit, M.D.
- Pediatric Hematology & Oncology Physician
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 67624
- Practice address
- 350 Heritage Way Ste 1100
Kalispell, MT 59901 - Phone
- (406) 752-8668
- NPI assigned
- Jul 9, 2012
- Last updated
- Aug 14, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5315055621 | MI | |
| Pediatrics Physician | 208000000X | 67624 | MT | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 4476 | WI | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 67624 | MT | Primary |
Addresses
Primary practice location
350 Heritage Way Ste 1100
Kalispell, MT 59901
Mailing address
350 Heritage Way Ste 1100
Kalispell, MT 59901-3160
Other practice location 1
100 Michigan St NE
MC #13
Grand Rapids, MI 49503-2560
Phone (616) 267-0073
Other practice location 2
1000 N Oak Ave
Marshfield, WI 54449-5702
Phone (715) 387-5511
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315055621 | MI | MD | Pediatrics Physician |
| 67624 | MT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Billings Cinic | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc. | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
350 Heritage Way
Ste 1100
Kalispell, MT 59901
Phone (406) 752-8900
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
dba Logan Health Medical Center
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1639434376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY STE 1100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY STE 1100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-8668"
}
],
"practiceLocations": [
{
"address_1": "100 Michigan St NE",
"address_2": "MC #13",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-267-0073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495702",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAFFIT",
"first_name": "ALLIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5315055621",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MT",
"license": "67624",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "WI",
"license": "4476",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MT",
"license": "67624",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "350 Heritage Way Ste 1100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "59901",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.