MR. WILLIAM FRANKLIN MONTGOMERY JR. (NPI# 1790710259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790710259 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM FRANKLIN MONTGOMERY JR. |
| Credential | PA |
| Practice Address |
2401 Walker Place Blvd Copperas Cove TX 76522-4025 |
| Practice Telephone | 2545475516 |
| Practice Fax Number | 2545475258 |
| Mailing Telephone | 2545475516 |
| Mailing Fax Number | 2545475258 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00108 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 86N594 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790934792 | William R Montgomery | Counselor | 4320 Hartford St # 1f, Saint Louis, MO 63116-1917 | 2008-09-15 |
| 1801937131 | William Michael Montgomery | Dentist | 989 Brighton Avenue, Portland, ME 04102-1022 | 2007-02-09 |
| 1063467306 | William Atterbury Montgomery | Psychologist | 2501 Dena Dr, San Angelo, TX 76904-5014 | 2006-05-24 |
| 1720699440 | William Mcclelland Montgomery Jr. | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H-375, Los Angeles, CA 90015-2212 | 2020-08-14 |
| 1982234142 | William Russell Montgomery | Hearing Instrument Specialist | 4025 20th St, Vero Beach, FL 32960-2403 | 2020-01-16 |
| 1093360372 | William Evan Montgomery | Physical Therapist | 3070 Lakecrest Cir Ste 700, Lexington, KY 40513-1770 | 2019-08-05 |
| 1013484641 | William Keith Montgomery | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-11-01 |
| 1669658886 | William Sewell Montgomery | Physical Therapy Assistant | 901 W Morton Ave, Suite 16a, Jacksonville, IL 62650-3287 | 2008-01-17 |
| 1659581544 | William Lloyd Montgomery | Marriage & Family Therapist | 16 N Franklin St, Suite 201 B, Doylestown, PA 18901-3536 | 2007-05-22 |
| 1992850424 | William Chad Montgomery | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-01-24 |
| Street Address |
2401 WALKER PLACE BLVD |
| City | COPPERAS COVE |
| State | TX |
| Zip Code | 76522-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479212 | David Y Go | Family Medicine | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2006-03-07 |
| 1538706619 | Kristin Nicole Willis | Nurse Practitioner | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2019-12-08 |
| 1699332338 | Adventhealth Family Medicine Rural Health Clinics, Inc. | Family Medicine | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2019-05-28 |
| 1720554819 | Jasmine A Morgan | Nurse Practitioner | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2018-10-16 |
| 1114353117 | Jamie Leann Jones | Nurse Practitioner | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2013-09-23 |
| 1790042406 | Richard Dean Calkins | Nurse Practitioner | 2401 Walker Place Blvd, # 300, Copperas Cove, TX 76522-4025 | 2012-04-19 |
| 1700150869 | Family Medicine Rural Health Clinic, Pa | Pediatrics | 2401 Walker Place Blvd, Copperas Cove, TX 76522-4025 | 2012-03-06 |
| 1477792802 | Brooke Danielle Matthews | Nurse Practitioner | 2401 Walker Place Blvd, Suite 100, Copperas Cove, TX 76522-4025 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150540 | Kassandra Bills | Physical Therapist | 1521 E Us-190, Copperas Cove, TX 76522 | 2020-09-30 |
| 1295340529 | William Edmond Wicheta Iv | Dentist | 3010 East Highway 190 Ste 130, Copperas Cove, TX 76522 | 2020-09-14 |
| 1669081923 | Southern Hills Chiropractic | Chiropractor | 1856 Patriot Cir, Copperas Cove, TX 76522 | 2020-07-23 |
| 1033735519 | Cody Michael Elenz | Chiropractor | 1856 Patriot Circle, Copperas Cove, TX 76522 | 2020-06-22 |
| 1811526247 | Silas Michael Lowery | Occupational Therapist | 1521 East Us 190, Copperas Cove, TX 76522 | 2020-04-07 |
| 1205475845 | Mia Campos | Behavioral Analyst | 1315 Mlk Jr Dr, Copperas Cove, TX 76522 | 2019-12-30 |
| 1952954638 | Cassidy Jo Mayo | Pharmacist | 2290 East Highway 190, Copperas Cove, TX 76522 | 2019-07-22 |
| 1629639448 | Van Anh Teresa Nguyen | Dentist | 2726 East Hwy 190, Suite 112, Copperas Cove, TX 76522 | 2019-06-24 |
| 1558925636 | Copperas Cove Dentistry and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 2726 E Business 190 Suite 112, Copperas Cove, TX 76522 | 2019-04-24 |
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| Find all providers in zip 76522 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982585 | Ashley Maria Bahlatzis | Physician Assistant | 1603 N Main St Apt O, Copperas Cove, TX 76522-1870 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | COPPERAS COVE |
| Zip Code | 76522 |
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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.