STEPHEN MONTGOMERY (NPI# 1699735159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699735159 |
| Entity Type | Individual |
| Full Name | STEPHEN MONTGOMERY |
| Credential | MD |
| Practice Address |
345 Highway 15 N Pontotoc MS 38863-1105 |
| Practice Telephone | 6624897430 |
| Practice Fax Number | 6624897938 |
| Mailing Telephone | 6624897430 |
| Mailing Fax Number | 6624897938 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10719 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760519227 | Stephen W Montgomery | Ophthalmology | 101 N Missouri Avenue, Roswell, NM 88203-4657 | 2007-02-28 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1902451560 | Stephen Montgomery | Counselor | 16244 S Military Trl Ste 110, Delray Beach, FL 33484-6505 | 2019-08-09 |
| 1194855353 | Stephen L Montgomery | Emergency Medicine | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2007-03-06 |
| 1417044520 | Stephen Montgomery | Psychiatry & Neurology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1245334598 | Stephen Patrick Montgomery | Psychiatry & Neurology | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-09-08 |
| 1780683201 | Stephen P Montgomery | Radiology | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-07-18 |
| Street Address |
345 HIGHWAY 15 N |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538576772 | Pontotoc Health Services, Inc. | Clinic/Center | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2014-07-21 |
| 1336575315 | Holly Wood | Nurse Practitioner | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2013-09-23 |
| 1376777201 | Jennifer Dawn Lowery | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2009-05-06 |
| 1245426998 | Steven Nicholas Dirmeyer | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2007-09-17 |
| 1548297021 | North Mississippi Medical Clinics Inc | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2006-06-28 |
| 1992758775 | Andrea J Warren | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1235673351 | Carla Chism | Speech-Language Pathologist | 2564 Highway 345, Pontotoc, MS 38863 | 2016-12-08 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1770995938 | Mississippi Professional Counseling Associates | Social Worker | 356a East Oxford Street, Pontotoc, MS 38863 | 2014-05-22 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| Find all providers in zip 38863 | ||||
| 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 |
|---|---|---|---|---|
| 1710181078 | Christopher Lane Park | Family Medicine | 11 E Jefferson St, Pontotoc, MS 38863-2807 | 2007-06-12 |
| 1538276191 | Flavia H West | Family Medicine | 183 S Main St, Pontotoc, MS 38863-3209 | 2006-08-23 |
| 1770699670 | Denise Hefner Sojourner | Family Medicine | 359 Old Oak Cir, Pontotoc, MS 38863-5016 | 2006-08-22 |
| 1376518308 | Timothy Frank Thompson | Family Medicine | 353 Highway 15 N, Pontotoc, MS 38863-1103 | 2006-02-22 |
| 1831710623 | Chris Park Do PC | Family Medicine | 11 E Jefferson St, Pontotoc, MS 38863-2807 | 2020-05-03 |
| 1386982569 | Flavia H West Md | Family Medicine | 183 S Main St, Pontotoc, MS 38863-3209 | 2013-01-23 |
| 1376777201 | Jennifer Dawn Lowery | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2009-05-06 |
| 1245426998 | Steven Nicholas Dirmeyer | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2007-09-17 |
| 1548297021 | North Mississippi Medical Clinics Inc | Family Medicine | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2006-06-28 |
| 1750336335 | Randel Gibson | Family Medicine | 353 Highway 15 N, Pontotoc, MS 38863 | 2006-05-23 |
| Find all providers in PONTOTOC | ||||
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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.