DR. ROBERT G MONTGOMERY (NPI# 1720101447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720101447 |
| Entity Type | Individual |
| Full Name | DR. ROBERT G MONTGOMERY |
| Credential | M.D. |
| Practice Address |
8570 S 116th St Franklin WI 53132-8803 |
| Practice Telephone | 4144274961 |
| Mailing Telephone | 4144274961 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
WI 22857-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA NUMBER | AM2983167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207376 | Robert Montgomery | Marriage & Family Therapist | 6619 Dunbarton Dr, Tuscaloosa, AL 35406-2920 | 2014-09-04 |
| 1164853453 | Robert Montgomery Sr. | Technician/Technologist | 513 Gaslight Blvd, Lufkin, TX 75904-3127 | 2013-12-11 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1245427343 | Robert Dean Montgomery | Dentist | 816 Scott St, Paso Robles, CA 93446-3640 | 2007-10-02 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| 1770696544 | Robert A Montgomery | Dentist | 108 Third St, Elkins, WV 26241 | 2006-08-16 |
| 1497768444 | Robert Montgomery | Dentist | 1127 S St, Fresno, CA 93721-1408 | 2006-08-14 |
| 1801802764 | Robert Leslie Montgomery | Podiatrist | 5502 Sepulveda Blvd, Culver City, CA 90230-5514 | 2006-07-31 |
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| 1538712583 | Robert Montgomery | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-18 |
| Street Address |
8570 S 116TH ST |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1336571660 | Physician Partners PC | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214501 | Muzaffar Baig Mirza | Family Medicine | 2976 Edenberry St, Fitchburg, WI 53711-6950 | 2008-07-29 |
| 1447388350 | Robert Earl Kerwin Jr. | Family Medicine | 333 E. Campus Mall, Madison, WI 53715-1381 | 2007-03-01 |
| 1184768129 | Charles E Larson | Family Medicine | Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 | 2007-02-15 |
| 1154411486 | Paul Henry Hunter | Family Medicine | 841 N Broadway Rm 315, Milwaukee, WI 53202-3613 | 2006-10-16 |
| 1851310411 | Steven Ronald Coenen | Family Medicine | 10 Triparkway, Va Clinic, Appleton, WI 54914 | 2006-07-18 |
| 1285688713 | Deborah A Luetzow | Family Medicine | 2413 W Rawson Ave, Oak Creek, WI 53154-1323 | 2006-05-20 |
| 1548257124 | Paul Hankwitz | Family Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2005-09-29 |
| 1184155194 | Richard Edgar Rieselbach | Family Medicine | 2711 Allen Blvd, Middleton, WI 53562 | 2017-03-22 |
| 1275978983 | Numale Medical Center LLC | Family Medicine | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2013-05-08 |
| 1376851311 | Progressive Community Health Centers, Inc | Family Medicine | 1452 N 7th St, 2nd Floor, Milwaukee, WI 53205-2301 | 2010-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ROBERT G 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.