JEFFREY SCOTT MONTGOMERY (NPI# 1851417075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851417075 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT MONTGOMERY |
| Credential | MD |
| Practice Address |
1500 E Medical Center Dr Ann Arbor MI 48109-5000 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364000 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301078376 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952461535 | Jeffrey David Montgomery | Dentist | 116 Ravine St Ste 100-201, Gate City, VA 24251-3311 | 2006-12-12 |
| 1760431019 | Jeffrey Montgomery | Optometrist | 162 Thf Blvd, Chesterfield, MO 63005-1141 | 2006-05-06 |
| 1639497241 | Jeffrey Montgomery | Pediatrics | 1 Childrens Way, Slot # 653, Little Rock, AR 72202-3500 | 2010-05-06 |
| 1447450556 | Jeffrey James Montgomery | Physician Assistant | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2007-07-18 |
| 1902007990 | Jeffrey Michael Montgomery | Family Medicine | 407 N State St, Clarks Summit, PA 18411-1061 | 2007-05-29 |
| 1154538403 | Jeffrey Scott Montgomery | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-05-17 |
| 1982761946 | Jeffrey A Montgomery | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2007-01-02 |
| Street Address |
1500 E MEDICAL CENTER DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475836 | Tami L. Remington | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | 2005-05-23 |
| 1578164810 | Jessica Leigh Bailey | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-11-03 |
| 1518565910 | Yoshiaki Ota | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-10-16 |
| 1366058356 | Paulo Zupelari Goncalves | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-09-16 |
| 1306459466 | Jesse P Spalding | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063024891 | Nathan Allen Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-22 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891306262 | Sarah Garnai | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-11 |
| 1386254936 | Ryan James Sutherlan | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699924399 | Cheng-yang Chang | Urology | 807 Asa Gray Dr Apt 401, Ann Arbor, MI 48105-3514 | 2008-09-17 |
| 1033279906 | David A. Burks | Urology | 2340 Londonderry Rd, Ann Arbor, MI 48104-4014 | 2006-12-11 |
| 1174639967 | Chin Ti Lin | Urology | 330 Meadow Creek Dr, Ann Arbor, MI 48105-3052 | 2006-08-22 |
| 1255345609 | Amy Lynn-opperer Brode | Urology | 4350 Jackson Rd Ste 350, Ann Arbor, MI 48103-1889 | 2006-07-28 |
| 1063481919 | Linda L Mcintire | Urology | 4540 Boulder Pond Dr, Ann Arbor, MI 48108-8595 | 2006-03-14 |
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1154787604 | Abdulrahman Alruwaily | Urology | 1500 E Medical Center Dr, Tc 3875 Spc 5330, Ann Arbor, MI 48109-5000 | 2016-01-13 |
| 1679952006 | Michael A Fenstermaker | Urology | 1500 E Medical Center Dr, 3875 Tc, Spc 5330, Ann Arbor, MI 48109-5000 | 2015-05-19 |
| 1821482845 | John M Dibianco | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-03-27 |
| 1659784460 | Spencer Charles Hiller | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
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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.