Individual provider Active NPI

Julie Anne Wood, M.D.

  • Family Medicine Physician
  • Fairfield, MT
National Provider Identifier
1831163757
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8208 Issued in MT
Practice address
45 Old Highway 89
Fairfield, MT 59436-9347
Phone
(406) 467-3933
NPI assigned
Feb 15, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8208 MT Primary

Addresses

Primary practice location

45 Old Highway 89
Fairfield, MT 59436-9347

Mailing address

45 Old Highway 89
Fairfield, MT 59436-9347
Phone (406) 467-3933

Other practice location 1

115 4th St S
Great Falls, MT 59401-3618
Phone (406) 454-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000600 MT Practitioner - Family Practice 4284828229 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8208MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
County of Cascade CurrentSince Apr 5, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

115 4th St S
Great Falls, MT 59401
Phone (406) 454-6950

621 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

915 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1831163757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OLD HIGHWAY 89",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594369347",
            "telephone_number": "406-467-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OLD HIGHWAY 89",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594369347",
            "telephone_number": "406-467-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 4th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594013618",
            "country_code": "US",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "8208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, MT

Sources for this page

Verify at the official NPI Registry.