Wolpoe Facial Plastic Surgery PLLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

WOLPOE FACIAL PLASTIC SURGERY PLLC

Practice address

288 W Haley Springs Rd Ste 2a
Bozeman, MT 59718-4184

Phone

(406) 281-4392

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Wolpoe, MDNPI 1417025206

Title

Owner Provider

Phone

(406) 281-4392

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew E Wolpoe, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bozeman, MT
  • NPI 1417025206
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1831867241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 CEDARWOOD LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W HALEY SPRINGS RD STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184184",
            "telephone_number": "406-281-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLPOE FACIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "WOLPOE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "406-281-4392",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justyna Wojtyczka, PA-C
• Abigail Ruth Wolf, LDEM
• Melissa Anne Wolf, MD
• Stephanie J Wolfe, MD
• Melissa Wolfson, PA-C
• Matthew E Wolpoe, MD
• Meghan Womack, R.D., L.D.
• Addison Reed Wood, DO, PHD
• Lucille Wood
• Sean Wood, COTA/L

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.