Mark Montgomery (NPI# 1528012655, PAC ID# 2567643802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1528012655 |
| PAC ID by PECOS | 2567643802 |
| Professional Enrollment ID | I20110221000396 |
| Full Name | Mark Montgomery |
| Organization Legal Name | MARK H MONTGOMERY MD PA |
| Address |
9240 Bonita Beach Rd Se Suite 1106 Bonita Springs FL 34135-4250 |
| Phone Number | 2394956200 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1974 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 7618975111 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100018 | NAPLES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 | 2394956200 | MARK H MONTGOMERY MD PA |
| Organization Legal Name | MARK H MONTGOMERY MD PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery B Hiltbrand | Otolaryngology | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| James A Hadley | Otolaryngology | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| Kathleen Rocuant | Qualified Audiologist | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| Street Address |
9240 BONITA BEACH RD SE SUITE 1106 |
| City | BONITA SPRINGS |
| State | FL |
| Zip | 34135-4250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Emilio Alfonso | Nephrology | 9240 Bonita Beach Rd Se, Suite 2217, Bonita Springs, FL 34135-4251 | |
| Jeffery B Hiltbrand | Otolaryngology | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| Myles R Samotin | Orthopedic Surgery | 9240 Bonita Beach Rd Se, Bonita Springs, FL 34135-4251 | |
| James A Hadley | Otolaryngology | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| Kathleen Rocuant | Qualified Audiologist | Mark H Montgomery Md Pa | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Andre Anderson | Family Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lori Williams | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Christopher R Myer | Hand Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Teri L Nies | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Anthony Pietroniro | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Cesar Cereijo | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Daniel J Harmon | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Kimberly A Litka | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Denise A Drago | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Find all physicians in zip 34135 | |||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BONITA SPRINGS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark Montgomery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.