JEFFREY MONTGOMERY (NPI# 1639497241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639497241 |
| Entity Type | Individual |
| Full Name | JEFFREY MONTGOMERY |
| Practice Address |
1 Childrens Way Slot # 653 Little Rock AR 72202-3500 |
| Mailing Address |
7419 Ohio St Apt 1b Little Rock AR 72207-5066 |
| Practice Telephone | 5013641100 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2013-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
E-7963 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952461535 | Jeffrey David Montgomery | Dentist | 116 Ravine St Ste 100-201, Gate City, VA 24251-3311 | 2006-12-12 |
| 1760431019 | Jeffrey Montgomery | Optometrist | 162 Thf Blvd, Chesterfield, MO 63005-1141 | 2006-05-06 |
| 1447450556 | Jeffrey James Montgomery | Physician Assistant | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2007-07-18 |
| 1902007990 | Jeffrey Michael Montgomery | Family Medicine | 407 N State St, Clarks Summit, PA 18411-1061 | 2007-05-29 |
| 1154538403 | Jeffrey Scott Montgomery | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-05-17 |
| 1851417075 | Jeffrey Scott Montgomery | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-03-21 |
| 1982761946 | Jeffrey A Montgomery | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2007-01-02 |
| Street Address |
1 CHILDRENS WAY SLOT # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769586 | Kenneth Richard Knecht | Pediatrics | 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 | 2005-12-05 |
| 1467064519 | April Leverton | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-20 |
| 1154932655 | Lauren L Lamb | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-10 |
| 1184249039 | Thao Vu | Spec/Tech, Pathology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-06-16 |
| 1619598703 | Elise Caroline Williams | Student in an Organized Health Care Education/Training Program | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-04-30 |
| 1437785938 | Melody Abernathy | Radiology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-03-16 |
| 1164053625 | Jocelyn Leibovich Dennis | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-02-03 |
| 1780224923 | Tabitha Renae Mealer | Orthopaedic Surgery | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-15 |
| 1306486816 | Amber Dane Earls | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-13 |
| 1811546468 | Angelia Kay Trammell | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657653 | Omar Salem | Pediatrics | #1 Childrens Way, Slot 512-19a, Little Rock, AR 72202 | 2015-04-16 |
| 1619994761 | Lawrence S Quang | Pediatrics | 1 Childrens Way # 512-16, Little Rock, AR 72202-3500 | 2006-07-16 |
| 1396274841 | Arkansas Children's Medical Group Pllc | Pediatrics | 1 Childrens Way # 844, Little Rock, AR 72202-3500 | 2017-06-08 |
| 1477996619 | Maxwell Douglas Taylor | Pediatrics | 4301 W Markham St, Little Rock, AR 72205-7101 | 2013-04-08 |
| 1801015144 | Nicholas W. Hobart-porter | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2007-04-25 |
| 1487744041 | Henry Farrar | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1447340005 | Charles Graham | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1356431910 | Laura James | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1083704647 | Rebecca Schexnayder | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1891885455 | Steven Shirm | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on JEFFREY 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.