LISA MONTGOMERY (NPI# 1639253347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639253347 |
| Entity Type | Individual |
| Full Name | LISA MONTGOMERY |
| Credential | PA |
| Practice Address |
101 S. Liberty Street Russiaville IN 46979 |
| Mailing Address |
2330 S Dixon Rd Kokomo IN 46902-6411 |
| Practice Telephone | 7658332273 |
| Practice Fax Number | 7658335168 |
| Mailing Telephone | 7654555400 |
| Mailing Fax Number | 7658653912 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000327 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125302 | Lisa R Montgomery | Case Manager/Care Coordinator | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2020-02-12 |
| 1437695863 | Lisa Montgomery | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-01-09 |
| 1811332950 | Lisa Montgomery | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2013-05-02 |
| 1558675199 | Lisa K Montgomery | Nurse Practitioner | 704 N 3rd St, Plainview, NE 68769-2047 | 2010-08-05 |
| 1457523631 | Lisa Montgomery | Speech-Language Pathologist | 1210 13th St, Parkersburg, WV 26101-4144 | 2008-03-28 |
| 1811915226 | Lisa Nichole Montgomery | Counselor | 3120 E Main St, Columbus, OH 43209-3707 | 2006-07-17 |
| Street Address |
101 S. LIBERTY STREET |
| City | RUSSIAVILLE |
| State | IN |
| Zip Code | 46979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639273014 | American Health Network of Indiana, LLC | Obstetrics & Gynecology | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-09-07 |
| 1952487936 | James Cole | Physician Assistant | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| 1275616864 | Martha J Hoshaw | Family Medicine | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093933228 | Russiaville Ambulance Service Inc. | Ambulance | 250 N Union St, Russiaville, IN 46979 | 2007-04-23 |
| 1174609150 | Sherri C Nuss | Family Medicine | 101 South Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| 1396306288 | Russiaville Volunteer Fire Department Inc. | Ambulance | 140 E Main St, Russiaville, IN 46979-9121 | 2019-06-22 |
| 1851599971 | Jennifer Erin Sylvester | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2007-07-10 |
| 1790344273 | Rebecca A King | Nurse Practitioner | 101 S Liberty St, Russiaville, IN 46979-9125 | 2019-06-10 |
| 1124419320 | Julie Gunckle | Registered Nurse | 101 S Liberty St, Russiaville, IN 46979-9125 | 2015-02-10 |
| 1902194491 | Board of Trustees of Howard Community Hospital | Clinic/Center | 101 S Liberty St, Russiaville, IN 46979-9125 | 2011-07-18 |
| 1316187552 | Clinton Paul Scruggs | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2009-02-28 |
| 1427689868 | Julie Harless Dorneman | Social Worker | 3617 W 200 S, Russiaville, IN 46979-9139 | 2020-02-03 |
| 1649564584 | Optimal Audiology, LLC | Clinic/Center | 3309 S 750 W, Russiaville, IN 46979-9146 | 2011-06-08 |
| Find all providers in zip 46979 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538678289 | Kristen L Fox | Physician Assistant | 3309 S 750 W, Russiaville, IN 46979-9146 | 2017-09-26 |
| 1952487936 | James Cole | Physician Assistant | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
| Find all providers with the same taxonomy | ||||
| City | RUSSIAVILLE |
| Zip Code | 46979 |
Please comment or provide details below to improve the information on LISA MONTGOMERY.
| 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.