CHARLES E MONTGOMERY (NPI# 1518916212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518916212 |
| Entity Type | Individual |
| Full Name | CHARLES E MONTGOMERY |
| Credential | M.D. |
| Practice Address |
1601 Chase Rd Logansport IN 46947-1538 |
| Mailing Address |
1201 Michigan Ave Suite Ll80 Logansport IN 46947-1580 |
| Practice Telephone | 5747534193 |
| Practice Fax Number | 5747321223 |
| Mailing Telephone | 5747531773 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 01022822A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000084713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787967 | Charles Montgomery | Counselor | 190 Lime Quarry Rd Ste 212, Madison, AL 35758-8976 | 2018-04-13 |
| 1720148745 | Charles Robert Montgomery Jr. | Dentist | 302 Mackenzie Dr, Jackson, NJ 08527-1184 | 2006-12-11 |
| 1437156197 | Charles W Montgomery | Internal Medicine | 961south Gloster Street, Tupelo, MS 38801 | 2005-07-07 |
| 1689730772 | Charles H Montgomery | Psychiatry & Neurology | 111 Deerwood Rd, Suite 360, San Ramon, CA 94583-4409 | 2006-12-31 |
| 1952477077 | Charles A Montgomery | Family Medicine | 109 E Church St, Greeneville, TN 37745-5603 | 2006-11-28 |
| 1679661383 | Charles J Montgomery | Ophthalmology | 700 Neapolitan Way, Naples, FL 34103-8570 | 2006-10-10 |
| 1235107913 | Charles Montgomery II | Anesthesiology | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2006-03-09 |
| Street Address |
1601 CHASE RD |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594382 | Sara L Hall | Physician Assistant | 1601 Chase Rd, Logansport, IN 46947-1538 | 2005-08-09 |
| 1932277159 | Todd A Dill | Dentist | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-12-04 |
| 1861414427 | Northcentral Indana Orthopedics | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063892875 | Jason Ummel | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2015-06-05 |
| 1275631020 | Jeryl Glynn Fullen | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2006-09-20 |
| 1235147919 | Kral Varhan | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947 | 2006-08-04 |
| 1861414427 | Northcentral Indana Orthopedics | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-07-24 |
| 1811958804 | James R Davis | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1679022925 | Stephen Stein | Orthopaedic Surgery | 13198 N County Road 400 E, Batesville, IN 47006-8881 | 2016-09-28 |
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1467826032 | Franciscan Physician Network | Orthopaedic Surgery | 759 45th Street, Suite 201, Munster, IN 46321 | 2015-11-19 |
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.