MICHAEL T MOUNT (NPI# 1386604403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386604403 |
| Entity Type | Individual |
| Full Name | MICHAEL T MOUNT |
| Credential | PA-C |
| Practice Address |
2119 E South Blvd #200 Montgomery AL 36116-2495 |
| Mailing Address |
Po Box 250450 Montgomery AL 36125-0450 |
| Practice Telephone | 3346139000 |
| Practice Fax Number | 3342866311 |
| Mailing Telephone | 3346139000 |
| Mailing Fax Number | 3342866311 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2009-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA320 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51512941MOU | 01 |
| AL | 051552391 | 05 | |
| RAILROAD MEDICARE | 970027632 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1043441736 | Michael G Mount | Surgery | 853 N Church St Ste 500, Spartanburg, SC 29303-3077 | 2009-07-29 |
| 1841619251 | Michael Mount | Pediatrics | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2014-04-14 |
| Street Address |
2119 E SOUTH BLVD #200 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487614665 | Samuel L Miller | Orthopaedic Surgery | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2409 | 2006-03-23 |
| 1932753357 | Hannah Elizabeth Hamilton | Nurse Practitioner | 2119 E South Blvd, Montgomery, AL 36116-2454 | 2019-07-25 |
| 1366002081 | Sarah Passmore | Nurse Practitioner | 2119 E South Blvd, Montgomery, AL 36116-2454 | 2019-06-14 |
| 1215215389 | Manisha Garg | Internal Medicine | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2011-07-23 |
| 1487940581 | James Patrick Allen | Physical Therapist | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2011-06-27 |
| 1114219409 | Rajasree Nambron | Internal Medicine | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2011-05-05 |
| 1336455260 | Omair Atiq | Internal Medicine | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2010-08-30 |
| 1114176419 | Pranav Babulal Patel | Internal Medicine | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2008-09-11 |
| 1083882096 | Geoffrey Michael Habermacher | Urology | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2008-02-12 |
| 1417141763 | Carlos M. Gadea | Internal Medicine | 2119 E South Blvd, Suite 100, Montgomery, AL 36116-2454 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043637572 | Alejandra Elizabeth Ceron | Physician Assistant | 24740 Shady Oaks Blvd, Montgomery, TX 77316-3892 | 2014-03-21 |
| 1821295544 | Edith C Agee | Physician Assistant | 2101 Chestnut St, Montgomery, AL 36106-1112 | 2007-06-27 |
| 1023194073 | Norman Edward Hobbs | Physician Assistant | 2055 E South Blvd Ste 301, Montgomery, AL 36116-2003 | 2006-10-31 |
| 1134587876 | Promed Surgical Assistants | Physician Assistant | 58 Cloverdale Ct, Montgomery, TX 77356-8251 | 2016-02-09 |
| 1770727497 | Lauren Lane Bannon | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2009-04-24 |
| 1144379348 | Melanie A Hurston | Physician Assistant | 257 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-01-09 |
| 1720154768 | Michael D Easterling | Physician Assistant | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1477633279 | Kendall F Roper | Physician Assistant | 2055 E South Blvd, Suite 601, Montgomery, AL 36116-2001 | 2006-10-16 |
| 1184726580 | Amy D Rapp | Physician Assistant | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-09-05 |
| 1124065222 | Darron E Forrest | Physician Assistant | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-05-31 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on MICHAEL T MOUNT.
| 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.