MS. MCKENZIE LAYNE MONTGOMERY (NPI# 1013492453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013492453 |
| Entity Type | Individual |
| Full Name | MS. MCKENZIE LAYNE MONTGOMERY |
| Credential | PA-C |
| Practice Address |
7236 Stonerock Cir Orlando FL 32819-8000 |
| Practice Telephone | 3218416444 |
| Mailing Telephone | 3218416444 |
| Mailing Fax Number | 4076501307 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9111695 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101257000 | 05 |
| Street Address |
7236 STONEROCK CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184674244 | Joel Richard Garcia | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2006-05-11 |
| 1528603693 | Alicia Cherian Mohamed | Registered Nurse | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2019-11-13 |
| 1508427337 | William Carl Mackenzie | Physician Assistant | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2019-06-24 |
| 1689927535 | Saba Ahmad | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2012-10-16 |
| 1083878300 | Laith Adli Al Balbissi | Surgery | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2008-07-16 |
| 1407017957 | Neeraj R Bajaj | Internal Medicine | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2008-06-18 |
| 1679601751 | Orlando Regional Health Network | Psychiatry & Neurology | 7236 Stonerock Cir, Orlando, FL 32819-8000 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.