Mikhail Joutovsky, D.O

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

40557 Issued in MT

Practice address

1341 Harrison Ave Ste 15
Butte, MT 59701-4801

Phone

(406) 299-2944

Fax

(406) 299-2944

NPI assigned

Apr 13, 2010

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Sage Mountain Health

  • Addiction Medicine (Family Medicine) Physician
  • Butte, MT
  • NPI 1881334605
  Authorized official Same address or phone

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1942526173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HARRISON AVE STE 15",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-299-2944",
            "fax_number": "406-299-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HARRISON AVE STE 15",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-299-2944",
            "fax_number": "406-299-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUTOVSKY",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MT",
            "license": "40557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Johnston, LICENSED ADDICTION
• Joint Action PLLC (Joint Action Wellness)
• Jolliff Counseling
• Justin T Jonart, PHARMD
• Laura Jorgensen, LCPC
• Michael Judd, MSW,LAC
• Cynthia A Kaiser, RN, CNM
• Kalarchik Consulting, Inc. (BC Hearing)
• Susan Leigh Kalarchik, AUD
• Melissa Kallweit, LCPC-C

• Addiction Medicine (Family Medicine) Physician in Butte, MT
• Providers in Butte, MT by specialty
• Addiction Medicine (Family Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.

Verify at the official NPI Registry.