Individual provider Active NPI

Damian Ymzon, M.D.

  • Surgery Physician
  • Havre, MT
National Provider Identifier
1861686560
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12458 Issued in MT
Practice address
20 13TH Street West
PO Box 1231
Havre, MT 59501-5950
Phone
(406) 265-7831
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12458 MT Primary

Addresses

Primary practice location

20 13TH Street West
PO Box 1231
Havre, MT 59501-5950

Mailing address

PO Box 1231
Havre, MT 59501-1231
Phone (406) 265-7831

Other identifiers 1

IdentifierTypeStateIssuer
1861686560MedicaidMT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000917 MT Practitioner - General Surgery 2668667908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Hawaii John a. Burns School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

20 13TH W St
Northern Montana Specialty Medical Center
Havre, MT 59501-6207
Phone (406) 265-7831

Hospital & facility affiliations

  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12458MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Sep 1, 2010 Accepting new patients
Northern Montana Hospital CurrentSince Sep 1, 2010 Accepting new patients
Northern Montana Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

20 13th St W
Havre, MT 59501
Phone (406) 262-1701

30 13th St
Havre, MT 59501
Phone (406) 262-1302

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1861686560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595011231",
            "telephone_number": "406-265-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 13TH STREET WEST",
            "address_2": "PO BOX 1231",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015950",
            "telephone_number": "406-265-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YMZON",
        "first_name": "DAMIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "12458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861686560",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.