DR. CYNTHIA GAIL MONTGOMERY (NPI# 1376521823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376521823 |
Entity Type | Individual |
Full Name | DR. CYNTHIA GAIL MONTGOMERY |
Credential | MD |
Practice Address |
2508 Bert Kouns Loop Suite 401 Shreveport LA 71118-3133 |
Practice Telephone | 3186865440 |
Practice Fax Number | 3186860624 |
Mailing Telephone | 3186865440 |
Mailing Fax Number | 3186860624 |
Enumeration Date | 2006-01-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 06971R | LA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | BCBS OF LA | 29417 | 01 |
TX | BCBS OF TX | 8082TU | 01 |
LA | 1378062 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851777668 | Cynthia Montgomery | Occupational Therapist | 3405 Anton Ct, Naples, FL 34109-1575 | 2015-08-04 |
1902224298 | Cynthia Montgomery | Behavioral Analyst | 1224 Westwood Dr, Lewis Center, OH 43035-6077 | 2014-04-03 |
1043342587 | Cynthia Ann Montgomery | Contractor | 2710 Willing Ave, Fort Worth, TX 76110-3034 | 2007-03-11 |
1720006190 | Cynthia Montgomery | Psychologist | 1735 Scarborough Dr Apt 3p, Bellevue, NE 68123-3445 | 2006-07-17 |
1487009478 | Cynthia Montgomery | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2016-04-27 |
1942284435 | Cynthia Montgomery | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2005-11-30 |
Street Address |
2508 BERT KOUNS LOOP SUITE 401 |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-3133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629076120 | Sreedevi Yerrapragada | Internal Medicine | 2508 Bert Kouns Loop, Suite 400, Shreveport, LA 71118-3133 | 2005-07-08 |
1316386436 | Wk Pediatric Surgical Associates | Surgery | 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 | 2013-06-21 |
1790057735 | Willis-knighton Medical Center, Inc. | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 105, Shreveport, LA 71118-3133 | 2012-02-07 |
1114256476 | Wk Shreveport Center for Geriatric Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2009-12-16 |
1922231851 | Wk South Shreveport Behavioral Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 203, Shreveport, LA 71118-3133 | 2009-08-26 |
1730311960 | Wk Shreveport Behavioral Wellness Center | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 203, Shreveport, LA 71118-3133 | 2009-08-21 |
1245487404 | Charles Godfried Otu-nyarko | Pediatrics | 2508 Bert Kouns Loop, Suite 101, Shreveport, LA 71118-3133 | 2008-08-19 |
1124283320 | Wk Womens Health Clinic | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 201, Shreveport, LA 71118-3133 | 2008-07-28 |
1336302108 | Elizabeth Leroy | Obstetrics & Gynecology | 2508 Bert Kouns Loop, Suite 201, Shreveport, LA 71118-3133 | 2008-07-02 |
1386825172 | Wk Frederick and Braud Clinic | Family Medicine | 2508 Bert Kouns Loop, Suite 102, Shreveport, LA 71118-3133 | 2007-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
1063816304 | Lisa Dupree | Specialist | 7655 Grimm Rd, Shreveport, LA 71107-3450 | 2014-10-15 |
1205256633 | Rhydonia R. Pillars | Specialist | 3110 Bert Kouns Industrial Loop # 11, Ste G, Shreveport, LA 71118-2948 | 2014-04-24 |
1912253618 | A Golden Touch Inc | Specialist | 3110 Bert Kouns Industrial Loop Ste G, Box 11, Shreveport, LA 71118 | 2012-07-31 |
1396048385 | Thomas J. Worgul, M.d., Apmc | Specialist | 7837 Youree Dr, Shreveport, LA 71105-5505 | 2010-12-13 |
1083929954 | Henock G Zabher LLC | Specialist | 8007 Amy Hewes Dr, Shreveport, LA 71115-4605 | 2010-08-16 |
1881907624 | Katharine Marie Meldrum | Specialist | 6602 Gilbert Dr, Shreveport, LA 71106-2300 | 2010-07-21 |
1033352976 | Jennifer A Perfetto | Specialist | 9809 Hearthside Cir, Shreveport, LA 71118-4830 | 2009-04-08 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71118 |
Please comment or provide details below to improve the information on DR. CYNTHIA GAIL MONTGOMERY.
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.