JOHN LOWELL MONTGOMERY (NPI# 1528589827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528589827 |
| Entity Type | Individual |
| Full Name | JOHN LOWELL MONTGOMERY |
| Credential | MD |
| Practice Address |
2720 Sunset Blvd Emergency Medicine Department West Columbia SC 29169 |
| Mailing Address |
470 Hulon Ln Emergency Medicine Department West Columbia SC 29169 |
| Practice Telephone | 8037912000 |
| Mailing Telephone | 8037912000 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 41060 | SC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | LL41060 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113854 | John Davis Montgomery Jr. | Driver | 1275 Kriswood Ln, Columbus, OH 43228-3462 | 2017-02-21 |
| 1285848713 | John Paul Montgomery | Dentist | 1811 Louetta Rd, Spring, TX 77388-4731 | 2007-05-10 |
| 1568684736 | John B Montgomery | Dentist | 3910 Gaston Ave Ste 175, Dallas, TX 75246-1504 | 2007-05-03 |
| 1033142898 | John E Montgomery | Pediatrics | 2400 Northpark Dr, Suite 10, Columbus, IN 47203-4425 | 2006-07-07 |
| 1578941969 | John R Montgomery | Surgery | 1500 E Medical Center Dr, 2110 Tc, Spc 5346, Ann Arbor, MI 48109-5000 | 2015-05-18 |
| 1174802771 | John Lee Montgomery Jr. | Ophthalmology | 1932 Alcoa Hwy Ste 255, Knoxville, TN 37920-1508 | 2011-08-12 |
| 1851591853 | John Michael Montgomery | Family Medicine | 4800 Deerwood Campus Pkwy, Building 600 1st Floor, Jacksonville, FL 32246 | 2007-07-19 |
| 1851433262 | John Colburn Montgomery | Dentist | 121 Main St, Ludlow, VT 05149-1025 | 2007-02-13 |
| 1114099298 | John L Montgomery | Counselor | 55 1st Pl Nw, Issaquah, WA 98027-3271 | 2006-11-14 |
| 1255441002 | John Montgomery | Dentist | 18924 Freeport Drive, Suite A, Montgomery, TX 77356 | 2006-08-30 |
| Street Address |
2720 SUNSET BLVD EMERGENCY MEDICINE DEPARTMENT |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
| 1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
| 1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1275133373 | Sean Tran | Pharmacist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-28 |
| 1538767645 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1083212294 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1386241834 | Lexington Health Inc | General Acute Care Hospital | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-07 |
| 1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1922366418 | Elva Stinson | Emergency Medicine | 1244 Boston Ave, West Columbia, SC 29170-2124 | 2012-05-02 |
| 1750352563 | Alfred Ricks Jr. | Emergency Medicine | 2142 Riverside Dr, West Columbia, TX 77486-9642 | 2006-01-30 |
| 1588653216 | Paul B Shahbahrami | Emergency Medicine | 2720 Sunset Blvd., West Columbia, SC 29169 | 2005-10-15 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1245764661 | Xinwei Liu | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2017-04-12 |
| 1215382296 | Daniel Lee Johnson | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2016-04-27 |
| 1114314465 | David A Kranc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169 | 2015-04-23 |
| 1295140259 | Harold Andrew Hall | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2014-06-27 |
| 1790198018 | Jared R Stone | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169 | 2014-06-04 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.