Michael R Uphues, D.O.

Individual provider Active NPI Family Medicine Physician · Wolf Point, MT

NPI 1912003997 · NPPES record last updated Mar 17, 2008

Key facts

NPI
1912003997
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
10187 (MT)
Practice address
901 4TH Ave N
Wolf Point, MT 59201-1215
Phone
(406) 653-1641
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Native American Development Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10187 MT Yes

Addresses

Primary practice location

901 4TH Ave N
Wolf Point, MT 59201-1215

Mailing address

901 4TH Ave N
Wolf Point, MT 59201-1215
Phone (406) 653-1641

Other identifiers

IdentifierTypeStateIssuer
2210068MedicaidMT

Other providers in Wolf Point, MT

All providers in Wolf Point, MT · Family Medicine Physician in Montana

Sources for this page

Verify at the official NPI Registry.