Active NPI
Frederick N Hamly, M.D.
- Pulmonary Disease Physician
- Poplar, MT
National Provider Identifier
1669656641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26444
- Practice address
- 107 H. Street East
Poplar, MT 59255 - Phone
- (406) 768-3491
- NPI assigned
- Dec 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 26444 | IA | Primary |
Addresses
Primary practice location
107 H. Street East
Poplar, MT 59255
Mailing address
107 H. Street East
P.O. Box 67
Poplar, MT 59255
Phone (406) 768-3491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26444 | Other | IA | IOWA LICENSE |
| 2210068 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26444 | IA | MD | Pulmonary Disease Physician |
| 113372 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1669656641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 H. STREET EAST",
"address_2": "P.O. BOX 67",
"city": "POPLAR",
"state": "MT",
"postal_code": "59255",
"telephone_number": "406-768-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 H. STREET EAST",
"city": "POPLAR",
"state": "MT",
"postal_code": "59255",
"telephone_number": "406-768-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLY",
"first_name": "FREDERICK",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "26444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "26444",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2210068",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.