BENJAMIN TITUS MONTGOMERY


Address: 3841 Piper St, Suite T300, Anchorage, AK 99508-4624
Phone: 9075633103

BENJAMIN TITUS MONTGOMERY (NPI# 1598921546) 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) 1598921546
Entity Type Individual
Full Name BENJAMIN TITUS MONTGOMERY
Credential MD
Practice Address 3841 Piper St
Suite T300
Anchorage
AK 99508-4624
Practice Telephone 9075633103
Practice Fax Number 9075611862
Mailing Telephone 9075633103
Mailing Fax Number 9075611862
Enumeration Date 2008-07-30
Last Update Date 2012-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 4301060876 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK GR0193 05

Other Providers BENJAMIN MONTGOMERY

NPI Name Taxonomy Address Enumeration
1083609747 Benjamin E. Montgomery Family Medicine 1606 W Lafayette Ave Ste D, Jacksonville, IL 62650-3710 2005-09-19
1215487327 Benjamin Montgomery Nurse Anesthetist, Certified Registered 4800 Friendship Ave, Pittsburgh, PA 15224-1722 2016-10-12

Office Location

Street Address 3841 PIPER ST
SUITE T300
City ANCHORAGE
State AK
Zip Code 99508-4624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972478 Kymberli Raye Brock Nurse Practitioner 3841 Piper St, Suite T100, Anchorage, AK 99508-4624 2005-06-17
1043862774 Matthew Lee Shryock Nurse Practitioner 3841 Piper St, Anchorage, AK 99508-4624 2019-07-12
1558759423 Arron O'callaghan Physician Assistant 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 2014-12-31
1316341142 Kimberly S Dahm Physician Assistant 3841 Piper St, Suite T377, Anchorage, AK 99508-4624 2014-10-22
1598167033 Gilbert Lewis Trout IIi Physician Assistant 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 2014-09-16
1003245788 Bryan Farthing Physician Assistant 3841 Piper St, Suite T4-054, Anchorage, AK 99508-4624 2013-11-04
1861745283 April J Dunlevy Nurse Practitioner 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 2012-10-23
1891047320 Julia S Mccord Nurse Practitioner 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 2012-10-08
1013285618 Even R Evanson Physician Assistant 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 2011-12-09
1225310634 Heidi Nichole Felton Physician Assistant 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 2011-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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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
1740897503 Far North Urology & Research PC Urology 2120 Sonstrom Dr, Anchorage, AK 99517-1018 2020-09-25
1649211194 Andre' S Godet Urology 3841 Piper St Ste T300, Anchorage, AK 99508-4624 2006-06-08
1124091939 Robert C Allen Jr. Urology 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 2006-02-10
1336136936 Alaska Women's Health Services, Inc Urology 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 2005-09-29
1366860314 Bryan James Wilson Urology 4315 Diplomacy Dr, Anchorage, AK 99508 2014-04-06
1861831273 Elysia Sophia Spencer Urology 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2013-06-19
1659533222 Mariam Imnadze Miller Urology 4315 Diplomacy Dr, Dept of Urology, Anchorage, AK 99508-5926 2008-06-25
1902067390 Joshua E Logan Urology 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 2008-06-19
1083890180 Alaska Womens Health PC Urology 3260 Providence Dr, Suite 322, Anchorage, AK 99508-4661 2008-01-18
1720262165 Kevin M Tomera Md Inc Urology 1200 Airport Heights Dr, Ste 210, Anchorage, AK 99508-2943 2007-12-20
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Competitor

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City ANCHORAGE
Zip Code 99508

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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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