EDEN MONTGOMERY (NPI# 1770058380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770058380 |
| Entity Type | Individual |
| Full Name | EDEN MONTGOMERY |
| Practice Address |
275 Mount Carmel Ave # 5688 Hamden CT 06518-1905 |
| Practice Telephone | 5183210453 |
| Mailing Telephone | 5183210453 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
275 MOUNT CARMEL AVE # 5688 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041943 | Julie Alexandra Bass | Student in an Organized Health Care Education/Training Program | 7232 Town Walk Dr, Hamden, CT 06518-3742 | 2020-04-13 |
| 1285263699 | Erin Danielle Schirra | Student in an Organized Health Care Education/Training Program | 1588 Whitney Ave, Hamden, CT 06517-2030 | 2020-04-07 |
| 1164051769 | Allison Knowles | Student in an Organized Health Care Education/Training Program | 124 Aspen Glen Dr, Hamden, CT 06518-3795 | 2020-04-06 |
| 1801425442 | Eric James Collentro | Student in an Organized Health Care Education/Training Program | 11313 Town Walk Dr, Hamden, CT 06518-3724 | 2020-04-06 |
| 1386273860 | Bradley James Christensen | Student in an Organized Health Care Education/Training Program | 23132 Town Walk Dr, Hamden, CT 06518-3764 | 2020-04-06 |
| 1073162038 | Rodcliffe Wint | Student in an Organized Health Care Education/Training Program | 905 Mix Ave Apt 2n, Hamden, CT 06514-5114 | 2019-09-11 |
| 1932631496 | Anamaria Orozco | Student in an Organized Health Care Education/Training Program | 20 Corbin Rd, Hamden, CT 06517-2907 | 2017-04-03 |
| 1518300581 | Clement Douglass Marshall | Student in an Organized Health Care Education/Training Program | 17 Rolfe St, Hamden, CT 06517-3340 | 2013-04-09 |
| 1801494570 | Daniel Jonathan Schultheis | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-14 |
| 1265030936 | Anthony William Pacheco IIi | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1908 | 2020-10-14 |
| Find all providers in HAMDEN | ||||
Please comment or provide details below to improve the information on EDEN 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.