WHITNEY LANE MONTGOMERY (NPI# 1306155601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306155601 |
| Entity Type | Individual |
| Full Name | WHITNEY LANE MONTGOMERY |
| Other Name | MS. WHITNEY ATKINS |
| Credential | PA-C |
| Practice Address |
4015 Ih 45 South Suite 110 Conroe TX 77304 |
| Practice Telephone | 9362703900 |
| Mailing Telephone | 9362703900 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02593 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GRP PTAN - HARRIS CO. | 00106W | 01 |
| TX | BCBSTX PROVIDER RECORD # | 8DH856 | 01 |
| TX | MEDICAID GRP TPI - HARRIS CO. | 153449704 | 01 |
| TX | 219982003 | 05 | |
| TX | BLUE BLUE SHIELD OF TEXAS GRP PROVIDER RECORD NUMBER | 0035TD | 01 |
| TX | MEDICARE GRP PTAN - MONTGOMERY CO. | 00659N | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 Pinecroft Dr, Suite 130, Shenandoah, TX 773803279 | 7138975900 | 7138972545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578980231 | Whitney Montgomery | Specialist | 109 S Water St, Suite 2, Ellensburg, WA 98926-3061 | 2014-03-19 |
| Street Address |
4015 IH 45 SOUTH SUITE 110 |
| City | CONROE |
| State | TX |
| Zip Code | 77304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1760912281 | Merrit Cherry | Physician Assistant | 2236 N Loop 336 W, Conroe, TX 77304-3519 | 2017-06-18 |
| 1679801203 | Lourdes Margarita Orellana | Physician Assistant | 1020 Riverwood Ct Ste 100, Conroe, TX 77304-2973 | 2009-11-19 |
| 1326281445 | Quoc Tran Hoang | Physician Assistant | 100 Medical Center Blvd Ste 118, Conroe, TX 77304-2821 | 2009-04-20 |
| 1568603140 | Pamela Matijevich | Physician Assistant | 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384 | 2009-03-12 |
| 1972780856 | Jamie M Hogan | Physician Assistant | 503 Medical Center Blvd #100, Conroe, TX 77304-2928 | 2008-01-23 |
| 1417130279 | Lynn Ann Mcinnis | Physician Assistant | 2416 Ripplewood Dr, Conroe, TX 77384-3678 | 2007-12-14 |
| 1639282031 | Jennifer Lyn Schmittauer | Physician Assistant | 3251 I H 45 N, Conroe, TX 77304-2185 | 2006-08-17 |
| 1700880515 | Jennifer Dawn Kemmerer | Physician Assistant | 690 S Loop 336 West, Ste 222, Conroe, TX 77304-3320 | 2005-06-09 |
| 1619596244 | Bryan Patrick Thompson | Physician Assistant | 690 S Loop 336 W Ste 215, Conroe, TX 77304-3322 | 2020-04-14 |
| Find all providers in CONROE | ||||
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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.