MONTGOMERY OTOLARYNGOLOGY LLP


Address: 1722 Pine St, Suite 804, Montgomery, AL 36106-1103
Phone: 3348347221

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL MEDICARE PTAN D507 01
AL 528801560 05

Office Location

Street Address 1722 PINE ST
SUITE 804
City MONTGOMERY
State AL
Zip Code 36106-1103

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City MONTGOMERY
Zip Code 36106

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Dataset Information

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.

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