ELDRIDGE MONTGOMERY


Address: 217 S 3rd St, Danville, KY 40422-1823
Phone: 8592367000

ELDRIDGE MONTGOMERY (NPI# 1487665204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487665204
Entity Type Individual
Full Name ELDRIDGE MONTGOMERY
Credential MD
Practice Address 217 S 3rd St
Danville
KY 40422-1823
Mailing Address 151 N Eagle Creek Dr
Ste 100
Lexington
KY 40509-1889
Practice Telephone 8592367000
Mailing Telephone 8592634341
Mailing Fax Number 8592637441
Enumeration Date 2006-08-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 16883 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64-168834 05

Office Location

Street Address 217 S 3RD ST
City DANVILLE
State KY
Zip Code 40422-1823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043219835 Joan Barker Haltom Pharmacist 217 S 3rd St, Pharmacy, Danville, KY 40422-1823 2005-07-14
1841801784 Empact Midwest LLC Physician Assistant 217 S 3rd St, Danville, KY 40422-1823 2020-08-13
1548880206 Hillary Hutchison Registered Nurse 217 S 3rd St, Danville, KY 40422-1823 2020-04-23
1346884095 Jennifer L Devine Nurse Practitioner 217 S 3rd St, Danville, KY 40422-1823 2019-11-05
1205309390 Cortney Renee Conklin Nurse Practitioner 217 S 3rd St, Danville, KY 40422-1823 2019-01-10
1659841088 Andrea Michelle Tompkins Nurse Practitioner 217 S 3rd St, Danville, KY 40422-1823 2018-11-28
1376026252 Michael Kyle Allen Physician Assistant 217 S 3rd St, Danville, KY 40422-1823 2018-09-07
1366938441 Jordan Brittany Crutchfield Nurse Practitioner 217 S 3rd St, Danville, KY 40422-1823 2018-07-02
1780191031 Hendra Yosia Sitompul Nurse Anesthetist, Certified Registered 217 S 3rd St, Danville, KY 40422-1823 2018-01-09
1023546942 Beth Ann Burchett Nurse Practitioner 217 S 3rd St, Danville, KY 40422-1823 2017-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568098754 Healthstat Onsite Clinic Centre College Preventive Medicine 851 West Walnut St, Danville, KY 40422 2020-03-19
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1033677695 Shannon Holland Erwin Counselor 475 W Main St Suite 160, Danville, KY 40422 2019-03-03
1225556871 Fallon Michelle Carnes Counselor 106 Belinda Blvd., Danville, KY 40422 2017-09-05
1780124529 Natasha Taylor Counselor 461 South 4th Street, Danville, KY 40422 2017-02-27
1184088890 Elizabeth Love Counselor 108 Saint Josephs Ct, Danville, KY 40422 2016-04-08
1801274550 Jeremy Tate Johnson Specialist/Technologist 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 2015-05-14
1649602228 Susan Hale Couzens Dentist 435 Whirlaway Dr, Danville, KY 40422 2013-08-06
1265751200 William Paul Baas Ophthalmology 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 2010-05-28
1780823666 Karen Totsuka IIi Speech-Language Pathologist 642 Nth 3rd St, Danville, KY 40422 2009-02-17
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043317357 Narayan R. Amin Urology Vaihcs - 112/dr N Amin, 1900 E. Main St., Danville, IL 61832 2006-09-20
1164428140 Edward Thorburn Wright Urology 1040 Main St, Danville, VA 24541-1816 2005-06-23
1336428440 Alyssa Marie Park Urology 100 N Academy Ave, Danville, PA 17822-1032 2011-08-07
1174813786 Matthew Arthur Meissner Urology 100 N Academy Ave, Danville, PA 17822-4009 2011-04-15
1164688271 Moira E Dwyer Urology 100 N Academy Ave, Danville, PA 17822-1316 2008-07-29
1750553566 Ryan Lee Mori Urology 100 N Academy Ave, Danville, PA 17822-1316 2008-04-01
1538365861 Heinric Williams Urology 100 N Academy Ave, Danville, PA 17822-1316 2007-06-24
1609957042 Ryan Michael Turpen Urology 230 W Main St, Suite 102, Danville, KY 40422-1871 2006-10-18
1912094962 Tullika Garg Urology 100 North Academy Ave., Danville, PA 17822-1316 2006-10-09
1528152493 Commonwealth Urology Danville Urology 222 S 3rd St, Danville, KY 40422-1824 2006-10-03
Find all providers in DANVILLE

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City DANVILLE
Zip Code 40422

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Dataset Information

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.

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