MS. HEATHER JEAN MONTGOMERY (NPI# 1427059559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427059559 |
| Entity Type | Individual |
| Full Name | MS. HEATHER JEAN MONTGOMERY |
| Credential | C.R.N.P |
| Practice Address |
110 Hospital Rd Suite 111 Prince Frederick MD 20678-4019 |
| Mailing Address |
130 Hospital Rd 200 Prince Frederick MD 20678-4055 |
| Practice Telephone | 4105354488 |
| Practice Fax Number | 4105356131 |
| Mailing Telephone | 4105354561 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R137571 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MHIP PROVIDER ID | R137571 | 01 |
| MD | JHHC PROVIDER NUMBER | 120363 | 01 |
| MD | CAREFIRST MD RENDERING | 61760401 | 01 |
| MD | CAREFIRST BLUECHOICE | 7605-0058 | 01 |
| MD | 400427200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731268 | Heather Montgomery | Nurse Practitioner | 23 North St Ste 2, Presque Isle, ME 04769-2295 | 2019-07-03 |
| 1699012351 | Heather Montgomery | Behavioral Analyst | 6901 Hansell Rd, 6414, Plano, TX 75024-4214 | 2013-01-14 |
| 1487072716 | Heather Montgomery | Physical Therapist | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | 2014-04-03 |
| 1841575958 | Heather Montgomery | Pharmacist | 9801 Manchaca Rd, Austin, TX 78748-6212 | 2011-10-20 |
| 1326278466 | Heather Johnson Montgomery | Nurse Practitioner | 103 Professional Park Ste A, Oxford, NC 27565-2581 | 2009-07-23 |
| 1629203310 | Heather Collins Montgomery | Nurse Practitioner | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421 | 2009-05-25 |
| Street Address |
110 HOSPITAL RD SUITE 111 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1497381586 | Ashly Gray | Nurse Practitioner | 110 Hospital Rd, Prince Frederick, MD 20678-4019 | 2020-03-20 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1376936823 | Calvert Internal Medicine Group, Pa | Nurse Practitioner | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2015-03-09 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1700215431 | Samantha L Keiter | Physician Assistant | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2013-11-04 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1144501008 | Kanayo Ekeada | Pharmacist | 110 Hospital Rd, Suite 100, Prince Frederick, MD 20678-4019 | 2011-09-06 |
| 1528361987 | Mukesh N Mathur,md,pa. | Internal Medicine | 110 Hospital Rd, Suite-305, Prince Frederick, MD 20678-4019 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219389 | Amanda Cardella | Family Medicine | 110 Hospital Rd Ste 111, Prince Frederick, MD 20678-4039 | 2014-06-03 |
| 1114375607 | Paul Asher Kline | Family Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-4020 | 2016-05-25 |
| 1043433816 | Michelle Antoinette Folsom Elder | Family Medicine | 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678-4019 | 2007-04-10 |
| 1326172248 | Issam F Damalouji Md | Family Medicine | 135 W Dares Beach Rd, Prince Frederick, MD 20678-3119 | 2007-03-15 |
| 1033222302 | Issam F Damalouji | Family Medicine | 135 W Dares Beach Rd, Prince Frederick, MD 20678-3119 | 2006-08-17 |
| 1861461923 | John Michael Brooks | Family Medicine | 110 Hospital Dr, Suite 111, Prince Frederick, MD 20678 | 2006-03-14 |
| 1891765939 | Sylvia Bongers Batong | Family Medicine | 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678-4039 | 2006-01-23 |
| 1114907615 | Calvert Family Practice Associates, P.a. | Family Medicine | 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678-4019 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.