MONTGOMERY OTOLARYNGOLOGY LLP (NPI# 1497865893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497865893 |
Entity Type | Organization |
Organization Name | MONTGOMERY OTOLARYNGOLOGY LLP |
Practice Address |
1722 Pine St Suite 804 Montgomery AL 36106-1103 |
Practice Telephone | 3348347221 |
Mailing Telephone | 3348347221 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-04-12 |
Authorized Official Name | MR. RODGER EGELAND (ADMINISTRATOR) |
Authorized Official Telephone | 3348347221 |
Authorized Official Credential | MPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | MEDICARE PTAN | D507 | 01 |
AL | 528801560 | 05 |
Street Address |
1722 PINE ST SUITE 804 |
City | MONTGOMERY |
State | AL |
Zip Code | 36106-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316949472 | Aubrey Ayers Stabler Jr. | Otolaryngology | 1722 Pine St, Suite 804, Montgomery, AL 36106-1108 | 2005-06-02 |
1609435155 | Virginia Mcdaniel | Nurse Practitioner | 1722 Pine St, Montgomery, AL 36106-1103 | 2019-06-09 |
1841736683 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 204, Montgomery, AL 36106-1103 | 2017-01-18 |
1376097089 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 406, Montgomery, AL 36106-1103 | 2016-08-10 |
1407300304 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Suite 904, Montgomery, AL 36106-1103 | 2016-08-09 |
1619352895 | Tammie Holcey | Nurse Practitioner | 1722 Pine St, Suite 1005, Montgomery, AL 36106-1103 | 2015-07-29 |
1528449386 | Jackson Hospital and Clinic Inc. | Durable Medical Equipment & Medical Supplies | 1722 Pine St, Suite 502, Montgomery, AL 36106-1103 | 2015-06-17 |
1285030080 | Greater Montgomery Patient Centered Gastroenterology and Hepatology | Internal Medicine | 1722 Pine St, Suite 801, Montgomery, AL 36106-1103 | 2014-11-06 |
1396152823 | S Louis Armstrong Md PC | Surgery | 1722 Pine St, Suite 201, Montgomery, AL 36106-1103 | 2014-07-16 |
1154669752 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Ste 503, Montgomery, AL 36106-1103 | 2013-01-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
Find all providers in zip 36106 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
1467543058 | Alan Craig Chapman | Otolaryngology | 1773 Platt Pl, Montgomery, AL 36117-7762 | 2006-09-27 |
1093749673 | Charles E Morgan | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-07-10 |
1174571749 | Phillip Scott Ballinger | Otolaryngology | 300 Taylor Rd Ste 600, Montgomery, AL 36117-3551 | 2006-05-05 |
1336143999 | Susan W Aguiar | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2005-06-10 |
1316949472 | Aubrey Ayers Stabler Jr. | Otolaryngology | 1722 Pine St, Suite 804, Montgomery, AL 36106-1108 | 2005-06-02 |
1720599012 | Jackson Hospital & Clinic, Inc. | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2017-10-13 |
1255693644 | Thomas W. Stark, Md Pllc | Otolaryngology | 18059 Highway 105 W, Suite 115, Montgomery, TX 77356-5000 | 2012-06-12 |
1558449991 | Ent Associates of Alabama Pa | Otolaryngology | 1773 Platt Pl, Montgomery, AL 36117-7762 | 2006-11-02 |
1124108535 | Central Alabama Ent Associates | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-10-17 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36106 |
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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.