DR. CHARLES MONTGOMERY II (NPI# 1235107913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235107913 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MONTGOMERY II |
| Credential | M.D. |
| Practice Address |
501 20th St Suite 606 Knoxville TN 37916-1809 |
| Practice Telephone | 8655468040 |
| Practice Fax Number | 8655412787 |
| Mailing Telephone | 8655468040 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 26340 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 4020734 | 01 |
| TN | 3099461 | 05 | |
| TN | BLUECARE | 4020734 | 01 |
| TN | TRAVELERS MEDICARE | 050083450 | 01 |
| TN | PHP TENNCARE | 100021855 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787967 | Charles Montgomery | Counselor | 190 Lime Quarry Rd Ste 212, Madison, AL 35758-8976 | 2018-04-13 |
| 1720148745 | Charles Robert Montgomery Jr. | Dentist | 302 Mackenzie Dr, Jackson, NJ 08527-1184 | 2006-12-11 |
| 1437156197 | Charles W Montgomery | Internal Medicine | 961south Gloster Street, Tupelo, MS 38801 | 2005-07-07 |
| 1689730772 | Charles H Montgomery | Psychiatry & Neurology | 111 Deerwood Rd, Suite 360, San Ramon, CA 94583-4409 | 2006-12-31 |
| 1952477077 | Charles A Montgomery | Family Medicine | 109 E Church St, Greeneville, TN 37745-5603 | 2006-11-28 |
| 1679661383 | Charles J Montgomery | Ophthalmology | 700 Neapolitan Way, Naples, FL 34103-8570 | 2006-10-10 |
| 1518916212 | Charles E Montgomery | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-05-09 |
| Street Address |
501 20TH ST SUITE 606 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093170 | Wilson C. Beamer | Anesthesiology | 501 20th St, Ste 606, Knoxville, TN 37916-1863 | 2005-06-14 |
| 1124579669 | Rachel Leah Beets | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2016-10-19 |
| 1629526918 | Adam Nemeth | Registered Nurse | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2016-09-14 |
| 1912350638 | Andrew Christopher Sipf | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2016-07-18 |
| 1508254350 | Jennifer Anne Lay | Nurse Practitioner | 501 20th St, Suite 606, Knoxville, TN 37916 | 2015-01-02 |
| 1659779361 | Emily Montgomery Smithson | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2014-12-11 |
| 1336558121 | Donna E Barnett | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2014-08-06 |
| 1154735900 | Vincent H. Bryant | Nurse Practitioner | 501 20th St, Ste 606, Knoxville, TN 37916 | 2014-06-19 |
| 1235540733 | Christopher Sawyer | Physician Assistant | 501 20th St, Suite 503, Knoxville, TN 37916-1809 | 2014-05-19 |
| 1013331677 | Kristin Burnette | Nurse Practitioner | 501 20th St, Suite 404, Knoxville, TN 37916-1809 | 2014-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105363 | Mark Steven Jordon | Anesthesiology | 1837 River Shores Dr, Knoxville, TN 37914-6025 | 2013-06-26 |
| 1427496645 | Jennifer Castelbuono | Anesthesiology | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2013-06-10 |
| 1629327135 | Edith Smith | Anesthesiology | 10621 Chevy Dr, Suite A, Knoxville, TN 37922-3105 | 2012-08-30 |
| 1598078909 | Che Antonio Solla | Anesthesiology | 1924 Alcoa Hwy # U109, Knoxville, TN 37920-1511 | 2010-07-15 |
| 1366624967 | Merit Anesthesia Pllc | Anesthesiology | 9918 Coral Springs Ln, Knoxville, TN 37922-3468 | 2007-12-05 |
| 1376747113 | Jeffrey Blair Staack | Anesthesiology | 341 Trane Dr, Knoxville, TN 37919-6053 | 2007-06-14 |
| 1538107305 | David G Newman | Anesthesiology | 1408 Currier Ln, Knoxville, TN 37919-8821 | 2006-06-03 |
| 1235117466 | Phillip R Mitchell | Anesthesiology | 3020 Keller Bend Rd, Knoxville, TN 37922-6521 | 2006-01-06 |
| 1285610105 | Bhaskar Reddy | Anesthesiology | 410 N Cedar Bluff Rd, Suite 300, Knoxville, TN 37923-3623 | 2005-12-22 |
| 1811988108 | Donald E Jones | Anesthesiology | 110 N Campbell Station Rd, Knoxville, TN 37934 | 2005-11-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.