DR. MARK HARLOW MONTGOMERY (NPI# 1528012655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528012655 |
Entity Type | Individual |
Full Name | DR. MARK HARLOW MONTGOMERY |
Credential | M.D. |
Practice Address |
9240 Bonita Beach Rd Suite 1106 Bonita Springs FL 34135-4249 |
Practice Telephone | 2394956200 |
Practice Fax Number | 2394956247 |
Mailing Telephone | 2394956200 |
Mailing Fax Number | 2394956247 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2011-12-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
ME 84347 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548486905 | Mark R Montgomery | Dentist | 130 W Jackson St, Cicero, IN 46034 | 2007-04-17 |
1851478564 | Mark Alyn Montgomery | Counselor | 4554 E. Inverness Ave., C-108, Mesa, AZ 85206-4639 | 2006-11-01 |
1306261367 | Mark Montgomery | Pharmacy Technician | 1149 University Dr, Burlington, NC 27215-8798 | 2014-02-28 |
1518152610 | Mark Alan Montgomery | Counselor | 1011 W 31st St, Suite 24, Austin, TX 78705-2099 | 2007-09-11 |
1043413024 | Mark N. Montgomery | Dentist | 32241 Crown Valley Pkwy, Suite 240, Monarch Beach, CA 92629-3346 | 2007-06-07 |
1558424309 | Mark Woodrow Montgomery | Dentist | 925 Commercial St Se, Suite 240, Salem, OR 97302 | 2006-12-19 |
1366403347 | Mark L. Montgomery | Radiology | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-30 |
Street Address |
9240 BONITA BEACH RD SUITE 1106 |
City | BONITA SPRINGS |
State | FL |
Zip Code | 34135-4249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770548455 | Richard Kent Williams | Internal Medicine | 9240 Bonita Beach Rd, Suite 1102, Bonita Springs, FL 34135-4249 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
Find all providers in zip 34135 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063821486 | Howard Zipper | Otolaryngology | 16658 Senterra Dr, Delray Beach, FL 33484-6987 | 2014-08-11 |
1427203348 | Atlantic Ent LLC | Otolaryngology | 333 W Cocoa Beach Cswy Ste B, Cocoa Beach, FL 32931-3513 | 2008-11-19 |
1265568398 | Barry Stewart Kronman | Otolaryngology | 1212 S Riverside Dr, Indialantic, FL 32903-3551 | 2007-02-25 |
1073559936 | Paul David Di Pasquale | Otolaryngology | 27516 Cashford Cir, Suite 101 - Vitale Institute, Wesley Chapel, FL 33544-6910 | 2006-06-21 |
1114981446 | Charles Allen Kosove | Otolaryngology | 1851 N Krome Ave, Homestead, FL 33030-3237 | 2006-04-13 |
1427057397 | M Jeffrey Marcus | Otolaryngology | 821 Medical Ct E, Inverness, FL 34452-4623 | 2005-07-21 |
1629076252 | Charles W Grayson | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2005-07-08 |
1700143534 | Daniel Dantini Md Pa | Otolaryngology | 29 Old Kings Rd N, Suite 6a, Palm Coast, FL 32137-8231 | 2012-04-18 |
1023283967 | Damask Physicians Group Pllc | Otolaryngology | 795 Primera Blvd, Suite 1031, Lake Mary, FL 32746-2191 | 2008-04-22 |
1124136155 | Richard B Allen | Otolaryngology | 4632 S 25th St, Fort Pierce, FL 34981-5057 | 2006-08-29 |
Find all providers with the same taxonomy |
City | BONITA SPRINGS |
Zip Code | 34135 |
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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.