Owen C Montgomery (NPI# 1114982204, PAC ID# 5991720518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1114982204 |
| PAC ID by PECOS | 5991720518 |
| Professional Enrollment ID | I20051012000382 |
| Full Name | Owen C Montgomery |
| Organization Legal Name | DREXEL UNIVERSITY |
| Address |
219 N Broad St 9th Floor Drexel Nutritional Counseling Philadelphia PA 19107-1506 |
| Phone Number | 2157622688 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5496664740 |
| Number of Group Practice Members | 190 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390226 | PENNSYLVANIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 | 2157622688 | DREXEL UNIVERSITY |
| Organization Legal Name | DREXEL UNIVERSITY |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maanit Kohli | Internal Medicine | Drexel University | 255 S 17th St 3rd Floor, Drexel Internal Medicine, Philadelphia, PA 19103-6231 |
| Aisha N Qazi | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Ashley Lynne Parker | Obstetrics/gynecology | Drexel University | 216 N Broad St 1st Floor, Philadelphia, PA 19102-1121 |
| Michael J Mccormack | Hematology/oncology | Drexel University | 230 N Broad St 15th Floor, Drexel Hematology Oncology, Philadelphia, PA 19102-1121 |
| Kristen M Ryczak | Family Medicine | Drexel University | 3401 Market St, 105a, Philadelphia, PA 19104-3315 |
| Azzam Hammad | Pathology | Drexel University | 245 N 15th St, Drexel Pathology, Philadelphia, PA 19102-1101 |
| Kenneth C Lau | Internal Medicine | Drexel University | 2126 Fairmount Ave, Philadelphia, PA 19130-2603 |
| Amanda Z De La Paz | Geriatric Medicine | Drexel University | 10 Shurs Ln, Philadelphia, PA 19127-2123 |
| Amy S Baranoski | Infectious Disease | Drexel University | 219 N Broad St 5th Floor, Drexel Infectious Disease, Philadelphia, PA 19107-1507 |
| Srikala S Ponnuru | Emergency Medicine | Drexel University | 230 N Broad St 7th Floor, Drexel Infectious Disease, Philadelphia, PA 19102-1121 |
| Street Address |
219 N BROAD ST 9TH FLOOR DREXEL NUTRITIONAL COUNSELING |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19107-1506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lissa B Levin Mizrahi | Nephrology | Drexel University | 219 N Broad St 9th Floor, Drexel Nephrology, Philadelphia, PA 19107-1506 |
| John Charles Madara | Pulmonary Disease | Drexel University | 219 N Broad St 9th Floor, Drexel Pulmonary, Philadelphia, PA 19107-1506 |
| Jaime A Baynes-fields | Nephrology | Drexel University | 219 N Broad St 9th Floor, Drexel Nephrology, Philadelphia, PA 19107-1506 |
| Robert A Promisloff | Pulmonary Disease | Drexel University | 219 N Broad St 9th Floor, Drexel Pulmonary, Philadelphia, PA 19107-1506 |
| Kartik Ramakrishna | Pulmonary Disease | Drexel University | 219 N Broad St 9th Floor, Drexel Pulmonary, Philadelphia, PA 19107-1506 |
| Julie A. Wang | Sleep Medicine | Drexel University | 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 |
| Ellie Kelepouris | Nephrology | Drexel University | 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 |
| Shaylyn C Lynch | Registered Dietitian Or Nutrition Professional | Drexel University | 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 |
| Zachari R Breeding | Registered Dietitian Or Nutrition Professional | Drexel University | 219 N Broad St 9th Floor, Drexel Nephrology, Philadelphia, PA 19107-1506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rene Rubin | Hematology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Jean M Koka | Hematology/oncology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Arnold T Berman | Orthopedic Surgery | Berman Orthopedics Institute | 221 N Broad St, Philadelphia, PA 19107-1502 |
| Aisha N Qazi | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Andres Castellanos | General Surgery | Drexel University | 219 N Broad St 8th Floor, Drexel Surgery, Philadelphia, PA 19107-1506 |
| Matthew William Lawrence | Vascular Surgery | Drexel University | 219 N Broad St, Suite 8, Philadelphia, PA 19107-1506 |
| Gediminas Gliebus | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Soumya D Chakravarty | Rheumatology | Drexel University | 219 N Broad St 5th Floor, Philadelphia, PA 19107-1506 |
| Olga Thon | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Erol Veznedaroglu | Neurosurgery | Gni Neuroservices, LLC | 219 N Broad St, Fl 7, Philadelphia, PA 19107-1506 |
| Find all physicians in zip 19107 | |||
| City | PHILADELPHIA |
| Zip Code | 19107 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PHILADELPHIA + OBSTETRICS/GYNECOLOGY |
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| 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.