DR. JOHN ALAN MONTGOMERY (NPI# 1609836782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609836782 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALAN MONTGOMERY |
| Credential | M.D. |
| Practice Address |
3300 Renner Dr Fortuna CA 95540-3120 |
| Mailing Address |
210 N Tustin Ave Santa Ana CA 92705-3807 |
| Practice Telephone | 7077253361 |
| Mailing Telephone | 8008837243 |
| Mailing Fax Number | 7146471245 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G19237 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G192370 | 05 |
| 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 |
| 1528589827 | John Lowell Montgomery | Emergency Medicine | 2720 Sunset Blvd, Emergency Medicine Department, West Columbia, SC 29169 | 2017-06-28 |
| 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 |
| Street Address |
3300 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090919 | Neal E Feuerman | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2005-08-17 |
| 1942709803 | Humboldt Radiology Medical Group Inc | Radiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2018-02-06 |
| 1790299048 | Caris Cassady | Physician Assistant | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2017-11-23 |
| 1861919607 | Neal E Feuerman, Md, Inc | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2017-08-23 |
| 1952616211 | Cep America - California | Family Medicine | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2010-08-11 |
| 1144415589 | St. Joseph Health Northern California, LLC | General Acute Care Hospital | 3300 Renner Dr, Fortuna, CA 95540 | 2007-09-10 |
| 1720279581 | Redwood Memorial Hospital | Clinic/Center | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2007-08-07 |
| 1285849026 | St. Joseph Health Northern California, LLC | General Acute Care Hospital | 3300 Renner Dr, Fortuna, CA 95540 | 2007-05-14 |
| 1750406146 | Pacific Memorial Anesthesia Care, Inc | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2007-03-21 |
| 1083754998 | St. Joseph Health Northern California, LLC | Pharmacy | 3300 Renner Dr, Fortuna, CA 95540 | 2007-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.