JOHN R MONTGOMERY


Address: 1500 E Medical Center Dr, 2110 Tc, Spc 5346, Ann Arbor, MI 48109-5000
Phone: 7349365818

JOHN R MONTGOMERY (NPI# 1578941969) 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) 1578941969
Entity Type Individual
Full Name JOHN R MONTGOMERY
Credential MD
Practice Address 1500 E Medical Center Dr
2110 Tc, Spc 5346
Ann Arbor
MI 48109-5000
Practice Telephone 7349365818
Enumeration Date 2015-05-18
Last Update Date 2019-05-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
4301107048 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 4301107048 MI Student, Health Care

Other Providers JOHN MONTGOMERY

NPI Name Taxonomy Address Enumeration
1689113854 John Davis Montgomery Jr. Driver 1275 Kriswood Ln, Columbus, OH 43228-3462 2017-02-21
1285848713 John Paul Montgomery Dentist 1811 Louetta Rd, Spring, TX 77388-4731 2007-05-10
1568684736 John B Montgomery Dentist 3910 Gaston Ave Ste 175, Dallas, TX 75246-1504 2007-05-03
1033142898 John E Montgomery Pediatrics 2400 Northpark Dr, Suite 10, Columbus, IN 47203-4425 2006-07-07
1528589827 John Lowell Montgomery Emergency Medicine 2720 Sunset Blvd, Emergency Medicine Department, West Columbia, SC 29169 2017-06-28
1174802771 John Lee Montgomery Jr. Ophthalmology 1932 Alcoa Hwy Ste 255, Knoxville, TN 37920-1508 2011-08-12
1851591853 John Michael Montgomery Family Medicine 4800 Deerwood Campus Pkwy, Building 600 1st Floor, Jacksonville, FL 32246 2007-07-19
1851433262 John Colburn Montgomery Dentist 121 Main St, Ludlow, VT 05149-1025 2007-02-13
1114099298 John L Montgomery Counselor 55 1st Pl Nw, Issaquah, WA 98027-3271 2006-11-14
1255441002 John Montgomery Dentist 18924 Freeport Drive, Suite A, Montgomery, TX 77356 2006-08-30

Office Location

Street Address 1500 E MEDICAL CENTER DR
2110 TC, SPC 5346
City ANN ARBOR
State MI
Zip Code 48109-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475836 Tami L. Remington Pharmacist 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 2005-05-23
1578164810 Jessica Leigh Bailey Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-11-03
1518565910 Yoshiaki Ota Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-10-16
1366058356 Paulo Zupelari Goncalves Dentist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-09-16
1306459466 Jesse P Spalding Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-28
1992318919 Batoul Berri Audiologist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-28
1063024891 Nathan Allen Johnson Nurse Practitioner 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-22
1780296699 Yoav Hammer Internal Medicine 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 2020-08-21
1891306262 Sarah Garnai Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-11
1386254936 Ryan James Sutherlan Pharmacist 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2020-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558987024 Albert Byun Student in an Organized Health Care Education/Training Program 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 2020-06-22
1851914931 Nadine Ibrahim Student in an Organized Health Care Education/Training Program 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 2020-05-22
1568083350 Tucker Zimmer Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 2020-05-03
1144841099 Jessica Moore Meves Student in an Organized Health Care Education/Training Program 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 2020-05-01
1710522297 Xiaoyuan Hu Specialist/Technologist Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 2019-11-08
1376192401 Regina Kay Freeman Clinical Nurse Specialist 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 2019-09-11
1477114155 William Philip Saunders IIi Student in an Organized Health Care Education/Training Program 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 2019-06-24
1093290447 Teresa H Lyden Speech-Language Pathologist 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1649755091 Anna Grace Hardenbergh Speech-Language Pathologist 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1548754609 Amy Wu Pediatrics 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 2018-06-21
Find all providers in zip 48109

Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467748210 John Dillon Galbraith Surgery 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503 2011-06-21
1215127501 Vinod K Puri Surgery 16001 W. Nine Mile Rd, Providence Hospital, Southfield, MI 48075 2007-08-01
1215090840 Michael S. Malian Surgery 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 2006-12-18
1164594420 James E Hoogeboom Surgery 6290 Burton St Se, Grand Rapids, MI 49546-6775 2006-11-14
1699870865 St. Marys of Michigan Specialists Surgery 4690 Mcleod Dr E, Ste B, Saginaw, MI 48604-2836 2006-09-13
1659371326 Marc L. Cullen Surgery Childrens Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201 2005-07-26
1518522093 Jamal D Farhan, M.d., P.C. Surgery 1020 Charter Dr Ste A, Flint, MI 48532-3584 2019-05-09
1306386586 W.a. Foote Memorial Hospital, Inc Surgery 205 N East Ave, Jackson, MI 49201-1753 2017-03-07
1154863033 United Critical Care Plc Surgery 6071 W Outer Dr, Detroit, MI 48235-2624 2016-11-09
1528477387 Kailyn Sum York Lain Kwong Hing Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 2014-08-06
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Competitor

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City ANN ARBOR
Zip Code 48109

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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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