JASON MONTGOMERY (NPI# 1326434689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326434689 |
Entity Type | Individual |
Full Name | JASON MONTGOMERY |
Practice Address |
6549 Town Center Dr Clarkston MI 48346-4824 |
Practice Telephone | 2486206400 |
Mailing Telephone | 2486206400 |
Enumeration Date | 2015-04-13 |
Last Update Date | 2015-04-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831648666 | Jason Montgomery | Social Worker | 6958 S King Dr, Chicago, IL 60637-4614 | 2016-09-21 |
1013270792 | Jason Montgomery | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83201-5175 | 2012-06-19 |
1447410980 | Jason Robert Montgomery | Physician Assistant | 2405 N Columbus St Ste 200, Lancaster, OH 43130 | 2008-06-09 |
1215119953 | Jason T Montgomery | Physician Assistant | 476 N 900 W, Suite C, American Fork, UT 84003-5199 | 2007-12-05 |
1962593939 | Jason Lee Montgomery | Dentist | 1524 Independence Pkwy, Suite A1/b, Plano, TX 75075-6406 | 2006-09-27 |
1104835594 | Jason Montgomery | Physician Assistant | 7447 E Berry Ave, Greenwood Village, CO 80111-2146 | 2006-08-05 |
Street Address |
6549 TOWN CENTER DR |
City | CLARKSTON |
State | MI |
Zip Code | 48346-4824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609882067 | Ismail B. Sendi, Md, PC | Clinic/Center | 6549 Town Center Dr, Suite A, Clarkston, MI 48346-4824 | 2006-07-31 |
1235661612 | Aaron Cook | Social Worker | 6549 Town Center Dr, Ste. A, Clarkston, MI 48346-4824 | 2017-04-03 |
1104365907 | Renee Somers | Psychologist | 6549 Town Center Dr, Ste. A, Clarkston, MI 48346 | 2017-02-14 |
1699126839 | Kathleen Stark | Counselor | 6549 Town Center Dr, Ste. A, Clarkston, MI 48346-4824 | 2016-06-29 |
1134579659 | Justine Potthast | Social Worker | 6549 Town Center Dr, Ste. A, Clarkston, MI 48346 | 2016-06-15 |
1467813253 | Sara Guzowski | Registered Nurse | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2016-03-08 |
1669831749 | Ann Mills | Registered Nurse | 6549 Town Center Dr, Suite A, Clarkston, MI 48346-4824 | 2016-02-17 |
1508234162 | Katherine Krajicek | Nurse Practitioner | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2015-09-11 |
1407242761 | Gerald Binford | Technician, Other | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2015-04-13 |
1093113268 | Susan Knapp | Social Worker | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2014-12-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
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Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992158075 | Natalie Marie Mcbryde | Technician, Other | 4937 Lancaster Hills Dr, 278, Clarkston, MI 48346-4414 | 2016-07-13 |
1942658117 | Marc Andrew Burger | Technician, Other | 4980 Tiohero Blvd, Clarkston, MI 48348-3382 | 2016-05-29 |
1669826582 | Madison Vandervennet | Technician, Other | 4998 Tiohero Blvd, Clarkston, MI 48348-3382 | 2016-04-17 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1407242761 | Gerald Binford | Technician, Other | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2015-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
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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.