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).
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 |
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 |
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 |
Street Address |
1500 E MEDICAL CENTER DR 2110 TC, SPC 5346 |
City | ANN ARBOR |
State | MI |
Zip Code | 48109-5000 |
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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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 Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
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. |
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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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.