Aaron B Montgomery (NPI# 1144278169, PAC ID# 5991746018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1144278169 |
| PAC ID by PECOS | 5991746018 |
| Professional Enrollment ID | I20090203000642 |
| Full Name | Aaron B Montgomery |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Address |
5149 N 9th Ave Suite 120 Pensacola FL 32504-8734 |
| Phone Number | 8504791805 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355405549 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| 100025 | SACRED HEART HOSPITAL |
| 100054 | TWIN CITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 327 Medcrest Dr, Unit B, Crestview, FL 32536-6464 | 8506820032 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| 4012 Commons Dr W, Suite 110, Destin, FL 32541-8424 | 8504347331 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| 4585 E Hwy 20, Suite 125, Niceville, FL 32578-7709 | 8506780184 | LIFELINE VASCULAR CENTER NICEVILLE LLC |
| 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 | 8509128847 | LIFELINE PENSACOLA LLC |
| 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 36% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 36% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 36% |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Lytle | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Kevin G Bradley | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 2301 N 9th Ave, Suite 100, Pensacola, FL 32503-5201 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christopher J Bosarge | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Pensacola, FL 32503-5201 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Harry R Cramer | Interventional Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Street Address |
5149 N 9TH AVE SUITE 120 |
| City | PENSACOLA |
| State | FL |
| Zip | 32504-8734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Lytle | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Cindy A Saiter | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Huey B Mcdaniel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christina A Dickson | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn E Ricketts | Certified Nurse Midwife | Sacred Heart Hospital of Pensacola | 5045 Carpenter Creek Dr, Pensacola, FL 32504-2521 |
| Victoria L Mccullers | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Matilda Jansen | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Richard J Amato | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Wendy W Osban | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caroline Quinn | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Tobias J Moreland | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Rick Brian Stevens | General Surgery | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Jung Y Gorton | Internal Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caitlin R Geurin | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Find all physicians in zip 32504 | |||
| City | PENSACOLA |
| Zip Code | 32504 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | PENSACOLA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Aaron B 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.