Jason Wayne Defluiter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19773 Issued in MT

Practice address

1343 Highway 93 North
Eureka, MT 59917-9503

Phone

(406) 297-2438

Fax

(406) 297-3374

NPI assigned

Sep 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1669780433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 HWY 93 NORTH",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179503",
            "telephone_number": "406-297-2438",
            "fax_number": "406-297-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 HIGHWAY 93 NORTH",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179503",
            "telephone_number": "406-297-2438",
            "fax_number": "406-297-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLUITER",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2010019750",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO159859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "19773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669780433",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aimee Dahlin
• Eric Daniels, DDS
• Karen Dayhoff Nesbitt
• Zachariah Deming
• Stacy T Dolan, PT
• Christopher A Duarte, PA-C
• Amy Marie Durden, MS, LCPC
• Alice Bain Elrod, D.C.

• Family Medicine Physician in Eureka, MT
• Providers in Eureka, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.