Individual provider Active NPI

Jason George Postlethwaite, DO

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1952842353
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
91284 Issued in MT
Practice address
1210 W Kent Ave Ste 202
Missoula, MT 59801-6612
Phone
(509) 731-5069
NPI assigned
Mar 17, 2017
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 91284 MT Primary

Addresses

Primary practice location

1210 W Kent Ave Ste 202
Missoula, MT 59801-6612

Mailing address

204 Ridgeway Dr
Lolo, MT 59847-9608
Phone (509) 731-5069

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
I20230110000886 MT Practitioner - Family Practice 4284025008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

341 W Pine St
Missoula, MT 59802-4119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91284MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Postlethwaite Integrative Medicine PC CurrentSince May 16, 2021 Accepting new patients
Missoula Osteopathic Clinic, PLLC Past Accepting new patients

Locations

1210 W Kent Ave
Ste 202
Missoula, MT 59801
Phone (406) 493-1877

Interoperability endpoints

  • Direct secure messaging: jpostlethwaite@mocp-mt.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1952842353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RIDGEWAY DR",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598479608",
            "telephone_number": "509-731-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W KENT AVE STE 202",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016612",
            "telephone_number": "509-731-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTLETHWAITE",
        "first_name": "JASON",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "91284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.