Havilah Chelsea Dodd, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700

Phone

(623) 584-3376

Fax

(623) 584-3375

NPI assigned

Apr 10, 2020

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Hospital Hospital, Butte, MT, CCN 270017
• Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

79.95

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Epiphany Dermatology of Montana, PLLC

  • Dermatology Physician
  • Butte, MT
  • NPI 1902455074
  Medicare reassignment Care Compare group
• Peyman a. Elison DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Surprise, AZ
  • NPI 1982749917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Anaconda

  • Urgent Care Clinic/Center
  • Anaconda, MT
  • NPI 1194823013

  Hospital

  Care Compare affiliation
• Community Hospital of Anaconda

  • Critical Access Hospital
  • Anaconda, MT
  • NPI 1205887924
  Care Compare affiliation
• Community Hospital of Anaconda

  dba pintler family practice

  • Family Medicine Physician
  • Anaconda, MT
  • NPI 1336244797

  Hospital

  Care Compare affiliation
• Community Hospital of Anaconda

  dba anaconda internal medicine

  • Internal Medicine Physician
  • Anaconda, MT
  • NPI 1427153881

  Hospital

  Care Compare affiliation
• Community Hospital of Anaconda

  dba Pintler Family Medicine East

  • Family Medicine Physician
  • Anaconda, MT
  • NPI 1538597703

  Hospital

  Care Compare affiliation
• Community Hospital of Anaconda

  dba Pintler General and Thoracic Surgery

  • Surgery Physician
  • Anaconda, MT
  • NPI 1639345341

  Hospital

  Care Compare affiliation
• Community Hospital of Anaconda

  dba anaconda pediatrics

  • Pediatric Adolescent Medicine Physician
  • Anaconda, MT
  • NPI 1992838288

  Hospital

  Care Compare affiliation
• St James Healthcare

  dba Intermountain Health St James Hospital

  • General Acute Care Hospital
  • Butte, MT
  • NPI 1528037215
  Care Compare affiliation
• St. James Healthcare

  dba Summit Lab

  • Clinical Medical Laboratory
  • Butte, MT
  • NPI 1023355849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1740809615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042157",
            "country_code": "US",
            "telephone_number": "602-827-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 W Thunderbird Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-466-8585",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13090 N 94th Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814257",
            "country_code": "US",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 E Baseline Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064616",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13090 N 94th Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814257",
            "country_code": "US",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6724 S Kings Ranch Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182962",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Alma School Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245941",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 N Trekell Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851221705",
            "country_code": "US",
            "telephone_number": "520-374-2462",
            "fax_number": "520-374-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "HAVILAH",
        "middle_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.