DR. JOANNE RUTH MONTGOMERY


Address: 4656 40th Ave S, Fargo, ND 58104-4397
Phone: 7012348860

DR. JOANNE RUTH MONTGOMERY (NPI# 1609040427) 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) 1609040427
Entity Type Individual
Full Name DR. JOANNE RUTH MONTGOMERY
Other Name DR. JOANNE RUTH HUMPHREY
Credential M.D.
Practice Address 4656 40th Ave S
Fargo
ND 58104-4397
Practice Telephone 7012348860
Mailing Telephone 7012348860
Enumeration Date 2008-04-14
Last Update Date 2016-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 14005 ND Allopathic & Osteopathic Physicians
N 207N00000X Dermatology ME109271 FL Allopathic & Osteopathic Physicians

Other Providers JOANNE MONTGOMERY

NPI Name Taxonomy Address Enumeration
1679096093 Joanne Lillian Montgomery Counselor 57 Plains Rd Ste 1e, Milford, CT 06461-2573 2017-07-18
1720112899 Joanne C.s. Montgomery Social Worker 72 Moody Ct Ste 201, Thousand Oaks, CA 91360-7427 2007-03-14

Office Location

Street Address 4656 40TH AVE S
City FARGO
State ND
Zip Code 58104-4397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639121304 Thomas J Matzke Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2006-05-17
1669939658 Jessica Adeline Satrom Physician Assistant 4656 40th Ave S, Fargo, ND 58104-4397 2019-02-26
1528595790 Brianna Lynn Strube Physician Assistant 4656 40th Ave S, Fargo, ND 58104-4397 2017-05-17
1225440324 Ryan Bogner Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2014-05-22
1952641987 Palak Patel Physician Assistant 4656 40th Ave S, Fargo, ND 58104 2013-02-28
1518247816 Sanford Medical Center Fargo Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2011-08-18
1972895803 Stephanie M Murphy Physician Assistant 4656 40th Ave S, Fargo, ND 58104-4397 2011-05-11
1952539223 Tania Marie Gonzalez Santiago Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2009-06-25
1689836975 Meritcare Medical Group Dermatology 4656 40th Ave S, Fargo, ND 58104-4394 2008-06-27
1932126919 Judith L Reese Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2006-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837347 Pinnacle Therapy & Wellness, Pllc Physical Therapist 4500 36th Ave S Suite 100, Fargo, ND 58104 2020-07-02
1619509858 Patricia Helen Bathie Counselor 4243 Auburn Ave., Fargo, ND 58104 2020-02-05
1346892866 Elizabeth Olis Registered Nurse 2633 55th St. S, Apartment 202, Fargo, ND 58104 2019-07-15
1780247023 Keith Kirimi Ndege Physical Therapy Assistant 5225 23rd Ave South, Fargo, ND 58104 2019-04-22
1346728557 Ms4 Pllc Pharmacy 4476 31st Avenue South, Suite #105, Fargo, ND 58104 2018-07-31
1891286977 Jessica Rae Majidian Dentist 3030 49th St S, Fargo, ND 58104 2018-05-23
1821588500 Alissa Nichole Larson Pharmacist 5675 26th Ave S St. 136a, Fargo, ND 58104 2018-05-17
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1619406733 Cobalt Rehabilitation Hospital Fargo LLC Rehabilitation Hospital 4671 38th Street S, Fargo, ND 58104 2017-06-12
1790210318 Homefield Health, LLC Clinic/Center 4141 31st Ave S., Ste 102, Fargo, ND 58104 2017-04-21
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205031713 Rachel C Ness Dermatology 3173 43rd Street S Ste A, Fargo, ND 58104-4564 2007-06-15
1902978455 Beth A Honl Dermatology 4133 30th Ave S Ste 101, Fargo, ND 58104-8421 2006-11-13
1952408809 Chetan P Maingi Dermatology 4556 40th Avenue South, Suite 130, Fargo, ND 58104 2006-09-20
1639121304 Thomas J Matzke Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2006-05-17
1245223023 Kimberly Rae Kelly Dermatology 1702 University Dr S, Fargo, ND 58103-4940 2005-08-26
1912359977 Natalie Marie Kollman Dermatology 1702 University Dr S, Fargo, ND 58103-4940 2016-07-01
1043666274 Dong Kim Dermatology 1702 University Dr S, Fargo, ND 58103-4940 2016-05-06
1225440324 Ryan Bogner Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2014-05-22
1518247816 Sanford Medical Center Fargo Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2011-08-18
1952539223 Tania Marie Gonzalez Santiago Dermatology 4656 40th Ave S, Fargo, ND 58104-4397 2009-06-25
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Competitor

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City FARGO
Zip Code 58104

Improve Information

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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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