Active NPI
Rodney Glen Heaton, D.O.
- Family Medicine Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10343
- Practice address
- 2827 Fort Missoula Road
Missoula, MT 59804 - Phone
- (406) 728-4100
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10343 | MT | Primary |
| Family Medicine Physician | 207Q00000X | 3810 | AZ |
Addresses
Primary practice location
2827 Fort Missoula Road
Missoula, MT 59804
Mailing address
8467 Wise River Road
Missoula, MT 59803
Phone (406) 491-3792
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3810 | AZ | MD | Clinical Psychologist |
| 10343 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Montana P C | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Montana - TCS PC | Family Medicine | Current | Accepting new patients |
Locations
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Missoula, MT
- NPI 1053569525
Family Medicine
-
- Internal Medicine Physician
- Butte, MT
- NPI 1902567183
Family Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
Family Medicine, MT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1861463689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8467 WISE RIVER ROAD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59803",
"telephone_number": "406-491-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 FORT MISSOULA ROAD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-728-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "RODNEY",
"middle_name": "GLEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "10343",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.