Douglas A Whitehead (NPI# 1912002221, PAC ID# 2769475664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912002221 |
| PAC ID by PECOS | 2769475664 |
| Professional Enrollment ID | I20040406001393 |
| Full Name | Douglas A Whitehead |
| Organization Legal Name | MEMORIAL HOSPITAL ASSOCIATION |
| Address |
2525 N Broadway Ave Red Lodge MT 59068-9222 |
| Phone Number | 4064462345 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951375849 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271326 | BEARTOOTH BILLINGS CLINIC |
| 270004 | BILLINGS CLINIC |
| 270049 | ST VINCENT HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2525 N Broadway Ave, Red Lodge, MT 59068-9222 | 4064462345 | MEMORIAL HOSPITAL ASSOCIATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 32% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 69% |
| Organization Legal Name | MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey R Baldwin | Physician Assistant | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Jeffrey R Horvath | Rheumatology | Memorial Hospital Association | D/b/a Memorial Medical Clinics Carthage, 1450 N County Rd 2050, Carthage, IL 62321 |
| Christopher M Jones | Obstetrics/gynecology | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Victoria L Kalivoda-popela | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Melissa Kristyne Wisslead | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Douglas A Heighton | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Gregory David Burfeind | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Tracey Lynn-severt Burgard | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Edward F Mckenney | General Practice | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Jeffery Andrew Leon | Physician Assistant | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Street Address |
2525 N BROADWAY AVE |
| City | RED LODGE |
| State | MT |
| Zip | 59068-9222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey R Baldwin | Physician Assistant | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Gregory David Burfeind | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Erin M Oley | Nurse Practitioner | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Dallas Elise Clark | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Jose F Ortiz | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| William B Oley Iii | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Danielle M Kaiser | Registered Dietitian Or Nutrition Professional | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Therese M Picasso Edwards | Registered Dietitian Or Nutrition Professional | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin J Wilson | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Ronald H Main | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Michael A Famularo | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| David W Mutch | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Joy C Bright Agindotan | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Mary C Compton | Gastroenterology | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Brooke E Yates | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Jon M Bullman | Family Medicine | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Hans E Bone | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Christopher J Cancro | Family Medicine | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Find all physicians in zip 59068 | |||
| City | RED LODGE |
| Zip Code | 59068 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RED LODGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas A Whitehead.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.