| Helena Ob/gyn, Pc | |
|
45 Medical Park Dr Helena MT 59601-4949 | |
| (406) 442-1914 | |
| Not Available |
| Full Name | Helena Ob/gyn, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Medical Park Dr, Helena, Montana |
| Authorized Official Name and Position | Alexis Rae O'leary (SHAREHOLDER) |
| Authorized Official Contact | 4064421914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helena Ob/gyn, Pc 45 Medical Park Dr Helena MT 59601-4949 Ph: (406) 442-1914 | Helena Ob/gyn, Pc 45 Medical Park Dr Helena MT 59601-4949 Ph: (406) 442-1914 |
| NPI Number | 1124632047 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 6800206640 |
|---|---|
| Medicare Enrollment ID | O20201105000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124632047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John William Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417060328 PECOS PAC ID: 9537230792 Enrollment ID: I20080616000130 |
| Provider Name | Carol Kolar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083710826 PECOS PAC ID: 9133283922 Enrollment ID: I20090122000431 |
| Provider Name | Maria L Huntley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134225964 PECOS PAC ID: 7810981644 Enrollment ID: I20100304000528 |
| Provider Name | Rebecca D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629457411 PECOS PAC ID: 5294048716 Enrollment ID: I20150713002129 |
| Provider Name | Alexis Rae O'leary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932523545 PECOS PAC ID: 6002033065 Enrollment ID: I20181002001730 |
| Provider Name | Jessica Marie Parson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255725479 PECOS PAC ID: 4385944776 Enrollment ID: I20190621002341 |
| Provider Name | Jennifer L Duroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225458813 PECOS PAC ID: 7416204169 Enrollment ID: I20210730001697 |
| Provider Name | Shayla Christine Daschle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841605169 PECOS PAC ID: 9638416779 Enrollment ID: I20221108002042 |
| Provider Name | Kassondra Jo Frith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770144156 PECOS PAC ID: 5395075592 Enrollment ID: I20230711004408 |
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