LYNDA G MONTGOMERY (NPI# 1447272844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447272844 |
| Entity Type | Individual |
| Full Name | LYNDA G MONTGOMERY |
| Credential | MD |
| Practice Address |
3609 Park East Dr Ste 210 Beachwood OH 44122-4309 |
| Practice Telephone | 2162455680 |
| Mailing Telephone | 2162455680 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35.081131 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35-081131 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000312657 | 01 |
| OH | 2356114 | 05 | |
| OH | AETNA | 7375280 | 01 |
| BUCKEYE | 737690 | 01 | |
| OH | RAILROAD MEDICARE | P00454363 | 01 |
| OH | ANTHEM | 000000530394 | 01 |
| UNISON | 000000224454 | 01 | |
| WELLCARE | 363854 | 01 | |
| OH | RAILROAD MEDICARE | P00333107 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7575 Northcliff Ave Ste 403, Brooklyn, OH 441443266 | 2165392702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050241 | Lynda Celeste Montgomery | Family Medicine | 4301 Garth Rd, Suites 302, 306, and 400, Baytown, TX 77521-3159 | 2016-05-05 |
| Street Address |
3609 PARK EAST DR STE 210 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318772 | Marathon Health LLC | Nurse Practitioner | 3609 Park East Dr Ste 210, Beachwood, OH 44122-4309 | 2020-02-18 |
| 1427425057 | Nora O'reilly Grabowski | Nurse Practitioner | 3609 Park East Dr Ste 210, Beachwood, OH 44122-4309 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| 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 |
|---|---|---|---|---|
| 1952747834 | Harilal G Gatha | Family Medicine | 24546 Beechmont Ct, Beachwood, OH 44122-2308 | 2013-05-17 |
| 1609007715 | University Hospitals Medical Group, Inc. | Family Medicine | 1 David N. Myers Pkwy., Beachwood, OH 44122 | 2009-08-06 |
| 1124239744 | Joseph Chester Orzechowski | Family Medicine | 25700 Science Park Dr Ste 120, Beachwood, OH 44122-7317 | 2007-05-25 |
| 1740345602 | Stephen Corfias | Family Medicine | 3609 Park East Dr Ste 300, North Building, Beachwood, OH 44122-4309 | 2006-12-22 |
| 1669486205 | Comprehensive Medical Services LLC | Family Medicine | 24050 Commerce Park Ste 100, Beachwood, OH 44122-5831 | 2006-07-28 |
| 1588629174 | Tod R Podl | Family Medicine | 1000 Eaton Blvd, Beachwood, OH 44122-6058 | 2006-04-18 |
| 1629067939 | Nayyer Homa Varghai | Family Medicine | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2005-10-19 |
| 1790770923 | Darshana G Patel | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2005-09-14 |
| 1619978517 | Richard F Weinberger | Family Medicine | 3690 Orange Pl, Suite # 230, Beachwood, OH 44122-4464 | 2005-08-02 |
| 1407481344 | Dana Severin | Family Medicine | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2020-03-11 |
| Find all providers in BEACHWOOD | ||||
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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.