DR. GLEN D MONTEIRO (NPI# 1598926164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598926164 |
| Entity Type | Individual |
| Full Name | DR. GLEN D MONTEIRO |
| Credential | MD |
| Practice Address |
390 Virginia St Suite A Urbanna VA 23175-9903 |
| Practice Telephone | 8042856020 |
| Practice Fax Number | 8047582765 |
| Mailing Telephone | 8042856020 |
| Mailing Fax Number | 8047582765 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101250080 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 011602053 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06115 | 01 |
| VA | GROUP PTAN | C06695 | 01 |
| Street Address |
390 VIRGINIA ST SUITE A |
| City | URBANNA |
| State | VA |
| Zip Code | 23175-9903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003011537 | Peak Performance Therapy LLC | Physical Therapist | 390 Virginia St, Urbanna, VA 23175 | 2007-06-15 |
| 1639506538 | Bon Secours Virginia Medical Group I, LLC | Family Medicine | 390 Virginia St, Suite A, Urbanna, VA 23175-9903 | 2013-10-09 |
| 1386086643 | Bon Secours Memorial Regional Medical Center, Inc. | Family Medicine | 390 Virginia St, Suite A, Urbanna, VA 23175-9903 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326533191 | Monica Durrette | Psychologist | 5342-a Old Virginia Street, Urbanna, VA 23175 | 2018-06-25 |
| 1083078935 | Rural Infant Services Program | Case Management | 535372 Old Virginia Street, B, Urbanna, VA 23175 | 2016-04-07 |
| 1437519907 | Katherine Elizabeth Wilson | Physical Therapist | 5372 B Old Virginia St, Urbanna, VA 23175 | 2016-02-26 |
| 1124450937 | Tiffany Anne Pittman | Case Manager/Care Coordinator | 5372b Old Virginia St, Urbanna, VA 23175 | 2013-08-02 |
| 1396001855 | Tidewater Recovery, Plc | Social Worker | 55 Cross Street, Urbanna, VA 23175 | 2012-04-09 |
| 1609102839 | Central Middlesex Volunteer Rescue Squad Inc | Ambulance | 391 Hilliard St, Urbanna, VA 23175 | 2009-10-22 |
| 1265565352 | Deborah Hare Whiteway | Speech-Language Pathologist | 5372 B Old Virginia Street, Urbanna, VA 23175 | 2007-03-14 |
| 1740311745 | Julie Ann Dobias | Physical Therapist | 5372-b Old Virginia Street, Urbanna, VA 23175 | 2007-03-08 |
| 1992879282 | Middle Peninsula-northern Neck Mental Health and Mental Retardation | Physical Therapist | 5372b Old Virginia Street, Urbanna, VA 23175 | 2006-11-20 |
| 1780656215 | Bay Aging | Public Health or Welfare | 5306 Old Virginia St., Urbanna, VA 23175 | 2006-02-07 |
| Find all providers in zip 23175 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619157013 | James R. Robusto | Family Medicine | 5399 Old Virginia St., Urbanna, VA 23175-0880 | 2007-11-14 |
| 1578545760 | James Robert Robusto | Family Medicine | 5399 Old Virginia Street, Urbanna, VA 23175-0880 | 2005-11-15 |
| 1639506538 | Bon Secours Virginia Medical Group I, LLC | Family Medicine | 390 Virginia St, Suite A, Urbanna, VA 23175-9903 | 2013-10-09 |
| 1386086643 | Bon Secours Memorial Regional Medical Center, Inc. | Family Medicine | 390 Virginia St, Suite A, Urbanna, VA 23175-9903 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.