Jonathan E Amick, D.O.
Individual provider Active NPI Anesthesiology Physician · Kalispell, MT
NPI 1770786154 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1770786154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- OS013906 (PA)
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 752-5111
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080715000182 | MT | Practitioner - Anesthesiology | 9234238445 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Whitefish | Current |
Accepting new patients | |
| Northern Rockies Anesthesia Consultants PLLC | Anesthesiology | Current |
Accepting new patients |
| Logan Health - Whitefish | Current |
Accepting new patients | |
| Pittsburgh Anesthesia Associates, LTD. | Anesthesiology | Past | Accepting new patients |
| Logan Health - Whitefish | Past | Accepting new patients |
Locations
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200
3004 Hospital Way
Whitefish, MT 59937
Phone (406) 862-4763
1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS013906 | PA | Yes |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
PO Box 24823
Seattle, WA 98124-0823
Phone (425) 407-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS013906 | Other | PA | OSTEOPATHIC LICENSE |
Other providers in Kalispell, MT
- Alpine Health & Wellness Clinic Mt LLC
- Rachael Marie Alsbury
- Alternative Youth Care
- Alternative Youth Care
- Altruistic Mental Health
- John D Andenoro
- Elise Anderes
- Brenda L Anderson
- Dawn Anderson
- Isaac Anderson
All providers in Kalispell, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.