MONTGOMERY MEDICAL GROUP (NPI# 1770694507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770694507 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY MEDICAL GROUP |
| Practice Address |
3700 S Main St Blacksburg VA 24060-7017 |
| Practice Telephone | 5409511111 |
| Mailing Telephone | 5409511111 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ARTHUR R ROBERSON (PHYSICIAN) |
| Authorized Official Telephone | 5409511111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 7074184 | 01 |
| VA | MAMSI | 885901 | 01 |
| Street Address |
3700 S MAIN ST |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077128 | River Valley Pathology, Inc. | Pathology | 3700 S Main St, Blacksburg, VA 24060-7017 | 2005-07-18 |
| 1679100481 | Christopher M George | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-24 |
| 1285261776 | Deborah Lynn Enns | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-24 |
| 1053947960 | Jake Daniel Norris | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1154958031 | Luke Godwin | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1316574296 | Angel Manuel Vigo | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1083240956 | Dennis K Adaaquah | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1720614670 | Toni Young | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-22 |
| 1144856097 | Cameron Michael Ross | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-22 |
| 1306472303 | Marika Adrienne Pitot | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657997 | Julie Neely | Internal Medicine | Charles W. Schiffert Health Center, Mccomas Hall (0140), Blacksburg, VA 24061-0001 | 2006-04-10 |
| 1952309445 | Jon Michael Payne | Internal Medicine | 810 Hospital Dr, Blacksburg, VA 24060-7023 | 2005-07-08 |
| 1578561064 | J Edwin Wilder | Internal Medicine | 840 Hospital Dr, Blacksburg, VA 24060-7023 | 2005-07-08 |
| 1881121705 | Trevor Bruce Parker | Internal Medicine | 3698 S Main St, Blacksburg, VA 24060-7015 | 2017-05-23 |
| 1396279725 | Ramakrishna Nalluri | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2017-04-12 |
| 1184155707 | Lacey Colvin | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2017-03-24 |
| 1578940987 | Michael Alan Davis | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2015-05-05 |
| 1609253889 | Siddhi Mehta | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060 | 2015-04-27 |
| 1053724146 | Jennifer Haney | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2014-06-05 |
| 1457762973 | Kevin Council Coppedge | Internal Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2014-05-19 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.