DR. JAY RANDALL MONTGOMERY (NPI# 1265402663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265402663 |
Entity Type | Individual |
Full Name | DR. JAY RANDALL MONTGOMERY |
Credential | M.D. |
Practice Address |
National Naval Medical Center 8901 Wisconsin Ave Bethesda MD 20889-0001 |
Mailing Address |
National Naval Medical Ctr 8901 Wisconsin Ave. Bethesda MD 20889-0001 |
Practice Telephone | 3012954510 |
Practice Fax Number | 3013198299 |
Mailing Telephone | 3012954510 |
Mailing Fax Number | 3013198299 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 0101241913 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881954568 | Jay Montgomery | Hearing Instrument Specialist | 10424 Kingston Pike Ste 5, Knoxville, TN 37922-3242 | 2012-05-29 |
1639343346 | Jay Alan Montgomery | Internal Medicine | 1215 21st Ave S, 5th Floor Medical Center East, Nashville, TN 37232-0014 | 2008-04-15 |
1235203605 | Jay Ronald Montgomery | Pharmacist | 114 N Allegheny St, Bellefonte, PA 16823-1627 | 2006-11-20 |
Street Address |
NATIONAL NAVAL MEDICAL CENTER 8901 WISCONSIN AVE |
City | BETHESDA |
State | MD |
Zip Code | 20889-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790788925 | Morgan Sammons | Psychologist | National Naval Medical Center, Bethesda, MD 20889-0001 | 2005-05-23 |
1932387438 | Paul Anthony Wong | Dentist | National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2008-02-06 |
1255528139 | Robert Linville Bumgarner | Pathology | National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 | 2007-09-25 |
1073703708 | Fred J Harper | Dentist | National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2007-07-30 |
1861699100 | Russell Paul Balmer | Student in an Organized Health Care Education/Training Program | National Naval Medical Center, 8901 Wisconsin Ave Bldg 10 Gme Office, Bethesda, MD 20889-5600 | 2007-06-29 |
1558573493 | Norman Michael Rogers | Dentist | National Naval Medical Center, 8901 Wisconsin Av, Bethesda, MD 20889-5600 | 2007-05-04 |
1811065584 | Kenneth W Waters | Anesthesiology | National Naval Medical Center, Department of Anesthesia, Bethesda, MD 20889-0001 | 2006-12-01 |
1952474678 | Cindy Tamminga | Internal Medicine | National Naval Medical Center, 8901 Rockville Pike, Bethesda, MD 20889-5600 | 2006-11-17 |
1447200340 | Michael Rudmann | Dentist | National Naval Medical Center, 8901 Wisconsin Ave., Bethesda, MD 20889-0001 | 2006-05-11 |
1043275993 | Yang Veronica Pei | Emergency Medicine | National Naval Medical Center, 8901 Wisconsin Ave Building 9, Bethesda, MD 20889-0001 | 2006-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467893073 | Lauren Virginia Wood | Allergy & Immunology | 10 Center Drive Msc 1578, Building 10 Room 4a22, Bethesda, MD 20892-1578 | 2013-07-11 |
1104175413 | John H Kehrl | Allergy & Immunology | 6002 Manor Oak Way, Bethesda, MD 20814-1866 | 2012-08-31 |
1528298965 | Julie E. Ledgerwood | Allergy & Immunology | Nih 9000 Rockville Pike Clinical Research Ctr, Crc Building 10 Room 5-2440, Bethesda, MD 20892-0001 | 2009-07-20 |
1982846184 | Melody Carter | Allergy & Immunology | 10 Center Dr Msc 1881, Bldg 10 Rm 213, Bethesda, MD 20892-0001 | 2009-04-02 |
1225275456 | Thomas Bruce Nutman | Allergy & Immunology | 4 Center Dr, Bldg 4 - Room B1-03, Bethesda, MD 20892-0425 | 2009-01-09 |
1932345618 | Dean D. Metcalfe | Allergy & Immunology | Nih 10 Center Dr, 10/11c207, Bethesda, MD 20892-0001 | 2008-12-30 |
1720203920 | Paneez Khoury | Allergy & Immunology | 50 South Dr, Building 50, Msc 8003, Bethesda, MD 20892-0001 | 2007-04-16 |
1194870311 | O & O Alpan, LLC | Allergy & Immunology | 5511 Oakmont Ave, Bethesda, MD 20817-3527 | 2007-01-25 |
1265412696 | Charles Edward Lee | Allergy & Immunology | National Naval Medical Center, 8901 Wisconsin Ave, Allergy and Immunology Clinic, Building 9, 1st Floor, Bethesda, MD 20889-0001 | 2006-01-20 |
1235119389 | Casey J Geaney | Allergy & Immunology | Wrnmmc, 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2006-01-17 |
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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.