Individual provider Active NPI

Michael Wayne Yerkey, M.D., F.A.C.C.

  • Clinical Cardiac Electrophysiology Physician
  • Missoula, MT
National Provider Identifier
1982691127
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MED-PHYS-LIC-18387 Issued in MT
Practice address
500 W Broadway St
Missoula, MT 59802
Phone
(406) 329-5615
Fax
(406) 329-2791
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MED-PHYS-LIC-18387 MT
Clinical Cardiac Electrophysiology Physician 207RC0001X MED-PHYS-LIC-18387 MT Primary

Addresses

Primary practice location

500 W Broadway St
Missoula, MT 59802

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-5615

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address myerkey132579@wm.providencedirect.org
Direct Messaging Address myerkey132579@wm.providencedirect.org
Direct Messaging Address myerkey132579@wm.providencedirect.org

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-18387MTMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Cardiac Electrophysiology Associates, Inc. Clinical Cardiac Electrophysiology Past Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: myerkey132579@wm.providencedirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1982691127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERKEY",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-18387",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-18387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myerkey132579@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "435 S Crystal St Ste 240",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597011523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myerkey132579@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "500 W Broadway St Ste 320",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myerkey132579@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "2829 Great Northern Loop Ste 300",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.