Russell S Montgomery (NPI# 1386624526, PAC ID# 3173533007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1386624526 |
| PAC ID by PECOS | 3173533007 |
| Professional Enrollment ID | I20060421000401 |
| Full Name | Russell S Montgomery |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Address |
521 E Elder St 101 Temecula Valley Imag Fallbrook CA 92028-3082 |
| Phone Number | 3104452843 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 3476466376 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050069 | ST JOSEPH HOSPITAL |
| 050769 | HOAG ORTHOPEDIC INSTITUTE |
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1211 W La Palma Ave, Anaheim, CA 92801-2812 | 7147781032 | SOUTHERN CALIFORNIA VASCULAR ASSOCIATES INC |
| 521 E Elder St, 101 Temecula Valley Imag, Fallbrook, CA 92028-3082 | 3104452843 | BEVERLY RADIOLOGY MEDICAL GROUP III |
| 2601 E Tahquitz Canyon Way, Palm Springs, CA 92262-7015 | 7603182980 | DESERT ADVANCED IMAGING MEDICAL CENTER |
| 25800 Bob Hope Dr, Suite 255, Ranco Mirage, CA 92270-1739 | 7603466239 | DESERT ADVANCED IMAGING MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deeshali Shah | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 10101 Riverside Dr, Toluca Lake, CA 91602-2517 |
| Joseph P Liu | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 2679 Zoe Ave, Huntington Park, CA 90255-4144 |
| Mitchell A Berner | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8805 Haven Ave, Suite 120, Rancho Cucamonga, CA 91730-5149 |
| Vinh N Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Arnold Friedman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| Shobi Zaidi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 510 N Prospect, Ave 101, Redondo Beach, CA 90277-3030 |
| Steven P Posner | Vascular Surgery | Beverly Radiology Medical Group IIi | 710 N Euclid St, 102 Anaheim Adv Imag, Anaheim, CA 92801-4122 |
| Curtis S Hammerman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 1261 Vandeer Dr, Hewlett, NY 11557-2512 |
| John S Tsakonas | Cardiovascular Disease (cardiology) | Beverly Radiology Medical Group IIi | 16130 Ventura Blvd, Encino, CA 91436-2503 |
| Mark Ivan Williams | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3320 N Los Coyotes Diagonal, Suite 112260, Long Beach, CA 90808-3918 |
| Street Address |
521 E ELDER ST 101 TEMECULA VALLEY IMAG |
| City | FALLBROOK |
| State | CA |
| Zip | 92028-3082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Hong | Gastroenterology | United Medical Doctors | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3082 |
| Carl J Walker | Urology | United Medical Doctors | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3082 |
| Benjamin Cahoon | Optometry | Inland Eye Specialists A Medical Corp | 521 E Elder St, Suite 102, Fallbrook, CA 92028-3082 |
| Jeffrey M Joseph | Ophthalmology | Inland Eye Specialists A Medical Corp | 521 E Elder St, Suite 102, Fallbrook, CA 92028-3082 |
| Christopher C Kaplan | Physical Therapy | Rancho Physical Therapy Inc | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3082 |
| Roxanne Lim | Gastroenterology | United Medical Doctors | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3082 |
| John G Tew | Ophthalmology | Inland Eye Specialists A Medical Corp | 521 E Elder St, Suite 102, Fallbrook, CA 92028-3082 |
| Georgiana L Miller | Family Medicine | Rancho Family Medical Group Inc | 521 E Elder St, Suite 105, Fallbrook, CA 92028-3082 |
| Matthew Schultzel | General Surgery | United Medical Doctors | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3082 |
| Meagan Stebbins Andrew | Physical Therapy | Rancho Physical Therapy Inc | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3082 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helena Holmes Morrison | Clinical Social Worker | 2068 E Mission Rd, Fallbrook, CA 92028-1837 | |
| Graydon W Skeoch | Emergency Medicine | 617 E Alvarado St, Fallbrook, CA 92028-2315 | |
| Peter Strutz | Internal Medicine | 605 E Alvarado St, Suite 100, Fallbrook, CA 92028-2315 | |
| Lawrence Franklin Pearson | Obstetrics/gynecology | 113 S Vine St, Suite A, Fallbrook, CA 92028-2925 | |
| Michael Foli | Chiropractic | 210 S Vine St, Fallbrook, CA 92028-2926 | |
| Enchanta L Jenkins | Obstetrics/gynecology | 585 E Elder St, Fallbrook, CA 92028-3003 | |
| William Andrew Atkins | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Carol A Heck | Psychologist, Clinical | 577 E Elder St C, Fallbrook, CA 92028-3079 | |
| Carrie Ann Loomis | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Cheyenne Rose Spencer | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Find all physicians in zip 92028 | |||
| City | FALLBROOK |
| Zip Code | 92028 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | FALLBROOK + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Russell S 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.