TARA LYN MONTGOMERY (NPI# 1366490005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366490005 |
| Entity Type | Individual |
| Full Name | TARA LYN MONTGOMERY |
| Credential | PA-C |
| Practice Address |
215 E Mansion St Ste 2d Marshall MI 49068-1167 |
| Practice Telephone | 2697890015 |
| Mailing Telephone | 2697890015 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004621 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934180 | Tara Montgomery | Social Worker | 1011 Union St, Oakland, CA 94607-2236 | 2020-08-28 |
| 1306052006 | Tara L. Montgomery | Emergency Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2007-05-16 |
| 1912095035 | Tara Montgomery | Physical Therapist | 8199 Southpark Ln, #120, Littleton, CO 80120-5667 | 2006-10-11 |
| Street Address |
215 E MANSION ST STE 2D |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417966995 | Steven Joseph Malocha | Audiologist | 215 E Mansion St Ste 2d, Marshall, MI 49068-1167 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656858 | Kelly Alicia Hunt Moeller | Physician Assistant | 1806 E End Blvd N Ste 1300, Marshall, TX 75670-0734 | 2011-10-19 |
| 1841440872 | Erin N Grabowski | Physician Assistant | Marshall Medical Associates, 1174 W. Michigan Ave, Marshall, MI 49068 | 2008-09-26 |
| 1295825925 | Hope Marie Howard | Physician Assistant | 720 Old Us Hwy 27 North, Marshall, MI 49068-9609 | 2006-10-13 |
| 1720018930 | George C Noel | Physician Assistant | 614 S Grove St, Suite A, Marshall, TX 75670-5219 | 2006-07-04 |
| 1982630828 | Timothy L Larson | Physician Assistant | 1401 Nwakama St, Marshall, MN 56258-5529 | 2006-06-23 |
| 1558343681 | Randall Curtis Lane | Physician Assistant | 811 S. Washington Street, Marshall, TX 75670 | 2005-11-15 |
| 1326049438 | Terrance D. Venden | Physician Assistant | 815 S Washington Ave, Suite 100, Marshall, TX 75670-5369 | 2005-08-10 |
| 1861498768 | Ken Yazzie Chambellan | Physician Assistant | 811 S Washington Ave, Marshall, TX 75670 | 2005-06-24 |
| 1346894748 | Jacob Bottelberghe | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-07-25 |
| 1598224321 | Hannah Sue Reski | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-03-19 |
| Find all providers in MARSHALL | ||||
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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.