DOUGLAS J MONTGOMERY (NPI# 1437291226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437291226 |
| Entity Type | Individual |
| Full Name | DOUGLAS J MONTGOMERY |
| Credential | PA-C |
| Practice Address |
9250 Blue Ash Rd Cincinnati OH 45242-6822 |
| Mailing Address |
237 William Howard Taft, Phys Div 2nd Fl, Cbo2-3, Attn: Credentialing Cincinnati OH 45219-2906 |
| Practice Telephone | 5137927445 |
| Practice Fax Number | 5137914042 |
| Mailing Telephone | 5137927445 |
| Mailing Fax Number | 5137914042 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.000196 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P01252598 | 01 |
| OH | CARESOURCE | 272352575063 | 01 |
| OH | AETNA | 5188071 | 01 |
| OH | GATEWAY HEALTH | 1630393 | 01 |
| OH | MEDICAID | 0077329 | 01 |
| OH | WELLCARE | 752112 | 01 |
| OH | ANTHEM | 791940 | 01 |
| KY | MEDICARE | K052931 | 01 |
| OH | BUCKEYE | P10000897204 | 01 |
| OH | MEDICARE | H155980 | 01 |
| OH | RAILROAD MEDICARE | P01191326 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679640585 | Douglas M Montgomery | Obstetrics & Gynecology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1013025907 | Douglas Duane Montgomery | Social Worker | 2950 Sw Woodside Dr, Topeka, KS 66614-5326 | 2006-08-29 |
| 1477539484 | Douglas D. Montgomery | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106 | 2005-12-21 |
| Street Address |
9250 BLUE ASH RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841529120 | Elizabeth Wilhelm | Physician Assistant | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2009-12-15 |
| 1386816148 | Tri-state Pain Management Services Inc | Pain Medicine | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2008-04-01 |
| 1114069994 | David M Brodbeck | Physician Assistant | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2007-02-12 |
| 1619910809 | Cincinnati Spine Institute LLC | Specialist | 9250 Blue Ash Rd, Cincinnati, OH 45242 | 2006-06-14 |
| 1497796726 | Alfred Kahn IIi | Orthopaedic Surgery | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2006-06-09 |
| 1053351783 | Michael J Kramer | Neurological Surgery | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2006-06-08 |
| 1205884822 | Anthony F Guanciale | Orthopaedic Surgery | 9250 Blue Ash Rd, Cincinnati, OH 45242 | 2006-05-05 |
| 1700856044 | John Mark Roberts V | Orthopaedic Surgery | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669619482 | Jennifer Miller | Physician Assistant | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2009-01-15 |
| 1093769515 | Gregory S. Newkirk | Physician Assistant | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2006-05-20 |
| 1700839529 | Steven D. Kinzer | Physician Assistant | 2454 Kipling Ave, Ste 120, Cincinnati, OH 45239-6650 | 2006-05-19 |
| 1760472435 | Sarah Lynn Buchert | Physician Assistant | 3249 Glenmore Ave, Cincinnati, OH 45211-6637 | 2005-10-25 |
| 1386634046 | Mark Walter Thiemann | Physician Assistant | 2454 Kipling Avenue, Ste 120, Cincinnati, OH 45239-6600 | 2005-10-25 |
| 1487173506 | Nicholas Garrett Rittle | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219 | 2017-09-11 |
| 1386091593 | Kaitlyn Elizabeth Kaiser | Physician Assistant | 231 Albert Sabin Way, Cincinnati, OH 45267-2722 | 2016-05-17 |
| 1164893020 | Kevin Brown | Physician Assistant | 8311 Montgomery Rd, Cincinnati, OH 45236-2227 | 2015-10-16 |
| 1033545884 | Jamie Lee Miller | Physician Assistant | 500 E Business Way, Cincinnati, OH 45241-2374 | 2013-09-24 |
| 1841625951 | Mollyrose M Wannamaker | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219 | 2013-09-08 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on DOUGLAS J 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.