MONTAGUE BLUNDON, III, MD, PA (NPI# 1114223617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114223617 |
| Entity Type | Organization |
| Organization Name | MONTAGUE BLUNDON, III, MD, PA |
| Practice Address |
5640 Shields Dr Wyngate Medical Park Bethesda MD 20817-3573 |
| Practice Telephone | 3078975505 |
| Practice Fax Number | 3018970887 |
| Mailing Telephone | 3018975505 |
| Mailing Fax Number | 3018970887 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | MONTAGUE BLUNDON III (OWNER) |
| Authorized Official Telephone | 3018975505 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | D0025637 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 266081400 | 05 |
| Street Address |
5640 SHIELDS DR WYNGATE MEDICAL PARK |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750341343 | Montague Blundon IIi | Orthopaedic Surgery | 5640 Shields Dr, Bethesda, MD 20817-3573 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364507 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6707 Democracy Blvd Ste 504, Bethesda, MD 20817-1166 | 2020-10-21 |
| 1285012351 | Keith Tariq Aziz | Orthopaedic Surgery | 8610 Burning Tree Rd, Bethesda, MD 20817-2944 | 2015-05-11 |
| 1437109907 | Joseph Raymond O'brien | Orthopaedic Surgery | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817 | 2006-05-12 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1710307772 | Stephen D Fernicola | Orthopaedic Surgery | 8901 Rockville Pike, Building 1, 19th Floor Room 19107, Bethesda, MD 20889-0001 | 2014-04-17 |
| 1861833675 | Maryland Orthopedic Institute, LLC | Orthopaedic Surgery | 6420 Rockledge Drive, Suite 4290, Bethesda, MD 20817-1106 | 2013-07-09 |
| 1164861811 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6430 Rockledge Drive, Suite 510, Bethesda, MD 02817 | 2013-06-17 |
| 1821351842 | Richard Lee Purcell | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2012-06-25 |
| 1467715771 | Eric Jay Feuchtbaum | Orthopaedic Surgery | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2012-06-21 |
| 1376827642 | Alfred Wolanin IIi | Orthopaedic Surgery | 8900 Wisconsin Ave, Bethesda, MD 20889-5600 | 2011-10-05 |
| Find all providers in BETHESDA | ||||
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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.