DR. SUSAN KATHLEEN MONTGOMERY (NPI# 1750547113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750547113 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KATHLEEN MONTGOMERY |
| Credential | MD |
| Practice Address |
21632 Highway 99 Edmonds WA 98026-8032 |
| Practice Telephone | 4256738300 |
| Mailing Telephone | 4256738300 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2014-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD 60222813 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154660942 | Susan E Montgomery | Doula | 103 Yorktown Rd, Collegeville, PA 19426-1735 | 2013-02-13 |
| 1447561345 | Susan Leigh Montgomery | Nurse Practitioner | 122 Weisenberger Road, Madison, MS 39110-8561 | 2010-06-24 |
| 1619140944 | Susan Veronica Montgomery | Registered Nurse | 333 Cottman Ave # C227, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2008-04-08 |
| 1811072218 | Susan L Montgomery | Psychologist | 135 Fox Rd Ste E, Knoxville, TN 37922-3367 | 2006-10-25 |
| 1619368198 | Susan Montgomery | Registered Nurse | 921 Mystic Ln, Troy, OH 45373-2254 | 2015-02-05 |
| 1144363136 | Susan Montgomery | Counselor | 1445 West 8th, Florence, OR 97439 | 2007-02-15 |
| 1265571657 | Susan Elizabeth Montgomery | Counselor | 1863 Beacon St, Brookline, MA 02445-4270 | 2007-02-05 |
| 1073679676 | Susan L Montgomery | Social Worker | 923 Route 6a Unit N, Yarmouth Port, MA 02675-2159 | 2006-12-28 |
| 1679641567 | Susan Montgomery | Occupational Therapist | 1 Medical Center Drive, Morgantown, WV 26505 | 2006-12-01 |
| 1093813107 | Susan A Montgomery | Occupational Therapist | 4613 Bee Cave Rd Ste 202, West Lake Hills, TX 78746-5212 | 2006-09-20 |
| Street Address |
21632 HIGHWAY 99 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369433 | Eileen Johnston | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2006-03-09 |
| 1164788444 | Jay Patrick Lopez | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2012-04-11 |
| 1659646115 | Kelly Garneski Paulson | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026 | 2012-03-16 |
| 1942593876 | Maryann M. Shango | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2011-05-25 |
| 1093734378 | Jennifer R. Wulff | Registered Nurse | 21632 Highway 99, Edmonds, WA 98026-8032 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369433 | Eileen Johnston | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2006-03-09 |
| 1164788444 | Jay Patrick Lopez | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2012-04-11 |
| 1942593876 | Maryann M. Shango | Internal Medicine | 21632 Highway 99, Edmonds, WA 98026-8032 | 2011-05-25 |
| 1700990918 | Washington Cancer Centers PC | Internal Medicine | 21605 76th Ave W, Ste # 200, Edmonds, WA 98026-7514 | 2006-08-18 |
| 1144298720 | Daniel Markowitz | Internal Medicine | 21605 76th Ave W, Ste # 200, Edmonds, WA 98026-7514 | 2006-03-09 |
| 1437127016 | Jeffery Ward | Internal Medicine | 21605 76th Ave W, Ste # 200, Edmonds, WA 98026-7514 | 2006-03-09 |
| 1205804184 | Marc Rosenshein | Internal Medicine | 21605 76th Ave W, Ste # 200, Edmonds, WA 98026-7514 | 2006-03-08 |
| 1134197122 | Richard Mcgee | Internal Medicine | 21605 76th Ave W, Ste # 200, Edmonds, WA 98026-7514 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
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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.