ELDRIDGE MONTGOMERY (NPI# 1487665204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 16883 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64-168834 | 05 |
Street Address |
217 S 3RD ST |
City | DANVILLE |
State | KY |
Zip Code | 40422-1823 |
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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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 |
Find all providers in zip 40422 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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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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.