DOUGLAS D. MONTGOMERY (NPI# 1477539484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477539484 |
| Entity Type | Individual |
| Full Name | DOUGLAS D. MONTGOMERY |
| Credential | M.D. |
| Practice Address |
85 Seymour St Suite 200 Hartford CT 06106 |
| Mailing Address |
111 Founders Plz Suite 400 East Hartford CT 06108-3212 |
| Practice Telephone | 8602893375 |
| Practice Fax Number | 8605602849 |
| Mailing Telephone | 8602916554 |
| Mailing Fax Number | 8605280778 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
041348 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BC/BS | 010041348CT01 | 01 |
| CT | OXFORD | A2516306 | 01 |
| CT | 001413484 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437291226 | Douglas J Montgomery | Physician Assistant | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2007-02-12 |
| 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 |
| Street Address |
85 SEYMOUR ST SUITE 200 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586471 | Daniel Bruce Fram | Internal Medicine | 85 Seymour St, Ste 821, Hartford, CT 06106 | 2005-05-27 |
| 1255841714 | Danielle Montufar Gleason | Psychologist | 85 Seymour St, Hartford, CT 06106-5501 | 2017-10-10 |
| 1164946760 | Christopher John Krupa-schayer | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2017-07-26 |
| 1902349251 | Courtney Leigh Davis | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2016-11-18 |
| 1669927703 | Hartford Healthcare Retail Pharmacy | Pharmacy | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-08-18 |
| 1013360254 | Praveen Jayapal | Student in an Organized Health Care Education/Training Program | 85 Seymour St, Hartford, CT 06106-5501 | 2016-07-22 |
| 1457702193 | Kevin Rooney | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2016-06-23 |
| 1922455211 | Molly Nathanson | Midwife | 85 Seymour St, Suite 1019, Hartford, CT 06106 | 2016-05-17 |
| 1386090124 | Allyson Rossi | Occupational Therapist | 85 Seymour St, Suite 604, Hartford, CT 06106-5501 | 2016-05-11 |
| 1639539554 | Daniel Gleason | Pharmacist | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
| 1639337363 | Ann C Price | Radiology | 226 E Washington St, Hartford, KY 42347-1143 | 2008-05-29 |
| 1043314693 | X-ray Associates | Radiology | 1211 N Main St, Ohio County Hospital, Hartford, KY 42347 | 2006-09-12 |
| 1407871890 | Stephen M Lindsey | Radiology | 784 Tipperary Ln, Hartford, WI 53027-9049 | 2006-07-13 |
| 1871599092 | Prasanta Karak | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2005-06-22 |
| 1356961601 | Chelmsford Mri, P.C. | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2020-04-16 |
| 1396165049 | Cara Swintelski | Radiology | 114 Woodland St, Hartford, CT 06105-1208 | 2014-04-21 |
| 1396182887 | Neeta Kannan | Radiology | 85 Seymour St, Hartford, CT 06106-5501 | 2013-05-24 |
| 1275889859 | Dorothy Cinti | Radiology | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2012-08-01 |
| 1811256662 | Michael I Levinson | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2012-05-15 |
| Find all providers in HARTFORD | ||||
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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.