DR. LORIE A. MONTAG (NPI# 1114953205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114953205 |
| Entity Type | Individual |
| Full Name | DR. LORIE A. MONTAG |
| Credential | M.D. |
| Practice Address |
1212 Pleasant Suite #ll3 Des Moines IA 50309-1414 |
| Practice Telephone | 5152418861 |
| Practice Fax Number | 5152418855 |
| Mailing Telephone | 5152418861 |
| Mailing Fax Number | 5152418855 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
102401 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100324250A | 05 | |
| COMMUNITY HEALTH PLAN | 10001057500 | 01 | |
| MO | 203860804 | 05 | |
| BLUE CROSS BLUE SHIELD KC | 25321019 | 01 |
| Street Address |
1212 PLEASANT SUITE #LL3 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884665 | Benjamin Lashar Hoch | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2005-07-13 |
| 1912172776 | Tiffani Lynn Milless | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2008-04-23 |
| 1528260650 | Sara B. Kilborn | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2007-06-01 |
| 1346331428 | Ashok Rajaram Pradhan | Pathology | 1212 Pleasant, Ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1356432421 | Larry Joseph Heller | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1265523336 | Edward Fredric Loeb | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1174614242 | John Maurice Grzybowski | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1316038490 | Richard Kent Scupham | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1962510099 | Renee R Ellerbroek | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-08-28 |
| 1891803979 | Larry Walter Anderson | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447485966 | Joshua Benjamin Cook | Pathology | 1212 Pleasant St., Room Ll3, Des Moines, IA 50309-0000 | 2009-05-28 |
| 1629158688 | Sara M Shunkwiler | Pathology | 431 E Locust St, Des Moines, IA 50309-1909 | 2006-10-16 |
| 1467563619 | Herman Henry Graefe | Pathology | 1212 Pleasant #ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
| 1679684922 | Kathleen Kelley Hansen | Pathology | 1212 Pleasant # Ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
| 1639282650 | Harrison W. Pratt II | Pathology | 2231 Nw 108th St, Des Moines, IA 50325-3729 | 2006-08-16 |
| 1457805053 | Jonathan Thompson | Pathology | 1111 6th Ave, Pathology Department, Des Moines, IA 50314-2613 | 2016-08-11 |
| 1255657680 | Jacob Edward Sramek | Pathology | 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309-1414 | 2010-04-09 |
| 1700049194 | Joseph Patrick Eaton | Pathology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2008-07-07 |
| 1073705760 | Carolyn Su-ying Pease | Pathology | 1111 6th Avenue, Mercy Medical Center, Des Moines, IA 50314 | 2007-08-16 |
| 1528260650 | Sara B. Kilborn | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2007-06-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.