Richard A Montgomery (NPI# 1275567638, PAC ID# 3476527169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1275567638 |
| PAC ID by PECOS | 3476527169 |
| Professional Enrollment ID | I20040819001078 |
| Full Name | Richard A Montgomery |
| Organization Legal Name | NORTH END PSYCHIATRY |
| Address |
1423 W Franklin St Boise ID 83702-5024 |
| Phone Number | 2083452212 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6406110360 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130014 | WEST VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1423 W Franklin St, Boise, ID 83702-5024 | 2083452212 | NORTH END PSYCHIATRY |
| Organization Legal Name | NORTH END PSYCHIATRY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie A Hawkins | Nurse Practitioner | North End Psychiatry | 1423 W Franklin St, Boise, ID 83702-5024 |
| Amy S Edwards | Psychiatry | North End Psychiatry | 1423 W Franklin St, Boise, ID 83702-5024 |
| Street Address |
1423 W FRANKLIN ST |
| City | BOISE |
| State | ID |
| Zip | 83702-5024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Saccomando Jr. | Psychiatry | 1423 W Franklin St, Boise, ID 83702-5024 | |
| Marie A Hawkins | Nurse Practitioner | North End Psychiatry | 1423 W Franklin St, Boise, ID 83702-5024 |
| Amy S Edwards | Psychiatry | North End Psychiatry | 1423 W Franklin St, Boise, ID 83702-5024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | PSYCHIATRY |
| City + Specialty | BOISE + PSYCHIATRY |
Please comment or provide details below to improve the information on Richard A 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.