Healthcare Provider Details

I. General information

NPI: 1487752655
Provider Name (Legal Business Name): HUGH ELLIOTT HETHERINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 VETERANS DR # 87
FORT HARRISON MT
59636-9700
US

IV. Provider business mailing address

2047 N LAST CHANCE GULCH STE 369
HELENA MT
59601-0744
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-6051
  • Fax:
Mailing address:
  • Phone: 406-581-5328
  • Fax: 406-289-9606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number6361
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number6361
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number6361
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: