MONTGOMERY MEDICAL (NPI# 1386837235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386837235 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY MEDICAL |
| Practice Address |
311 Landrum Place #100 Clarksville TN 37043 |
| Mailing Address |
P.o. Box 3479 Clarksville TN 37043 |
| Practice Telephone | 9319200228 |
| Practice Fax Number | 9319202191 |
| Mailing Telephone | 9319200228 |
| Mailing Fax Number | 9319202191 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | CHANDRAKANTA D NAWATHE (OWNER) |
| Authorized Official Telephone | 9319200228 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 29412 | TN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MONTGOMERY MEDICAL ASSOCIATES, LLC | 646 N 1st Street, Montgomery, IN 47558 |
| Colorado Business Entities | Montgomery Medical LLC | 7672 S. Emerson St., Centennial, CO 80122 |
| Colorado Business Entities | Montgomery Medical PLLC | 19359 W 57th Pl, Golden, CO 80403 |
| Street Address |
311 LANDRUM PLACE #100 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938432 | John K Endsley | Internal Medicine | 311 Landrum Place, Ste 100, Clarksville, TN 37043 | 2005-11-08 |
| 1881141380 | Dixie Infusion Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 311 Landrum Place, Suite 600, Clarksville, TN 37043-6319 | 2016-09-01 |
| 1699091447 | Caring Family Practice Pllc | Nurse Practitioner | 311 Landrum Place, Suite C500, Clarksville, TN 37043 | 2010-04-19 |
| 1366617466 | Clarksville Orthopedics, Plc | Orthopaedic Surgery | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2008-04-29 |
| 1508961996 | James David Amlicke | Internal Medicine | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932527090 | Healogics Specialty Physicians of Tennessee, Pllc | Internal Medicine | 647 Dunlop Ln Ste 108, Clarksville, TN 37040-6284 | 2014-04-04 |
| 1255621066 | Bruce D Spinzig Internal Medicine LLC | Internal Medicine | 1754 Madison Street, Suite 2, Clarksville, TN 37043-2924 | 2011-04-13 |
| 1073745717 | Khin Maung U | Internal Medicine | 6000 Pure Sky Pl, Clarksville, MD 21029-1238 | 2009-08-13 |
| 1376707216 | Rachel Owsiak | Internal Medicine | 141 Chesapeake Ln, Suite 300, Clarksville, TN 37040-5241 | 2008-07-10 |
| 1740487305 | Stephen Aulton White | Internal Medicine | 2289 Rudolphtown Rd Ste B, Clarksville, TN 37043-2231 | 2007-06-28 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| 1407077928 | David T Schulz | Internal Medicine | 2051 Clevidence Blvd Ste A, Clarksville, IN 47129-2278 | 2007-05-01 |
| 1841312568 | Ehab T Shehata | Internal Medicine | 7205 Fawn Crossing Dr, Clarksville, MD 21029-1743 | 2007-04-04 |
| 1780709451 | Gateway Medical Associates, P.C. | Internal Medicine | 751 Chesapeake Lane, Ste 101, Clarksville, TN 37040-5263 | 2007-03-20 |
| 1831274117 | Olawumi Olubukola Ayo | Internal Medicine | 1771 Madison Street, Clarksville, TN 37043-4990 | 2006-10-26 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.