THOMAS W MONTAG MD PLC (NPI# 1639193907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639193907 |
| Entity Type | Organization |
| Organization Name | THOMAS W MONTAG MD PLC |
| Practice Address |
109 Wimbledon Sq Suite F Chesapeake VA 23320-4945 |
| Practice Telephone | 7574369898 |
| Practice Fax Number | 7574365455 |
| Mailing Telephone | 7574369898 |
| Mailing Fax Number | 7574365455 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | DR. THOMAS W MONTAG (MANAGING MEMBER GYN ONCOLOGIST) |
| Authorized Official Telephone | 7574369898 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C09977 | 01 |
| VA | 621780-0 | 05 | |
| VA | MEDICAL LICENSE | 0101059160 | 01 |
| Street Address |
109 WIMBLEDON SQ SUITE F |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629271 | Fredric Jay Gross | Ophthalmology | 109 Wimbledon Sq, Ste E, Chesapeake, VA 23320-4945 | 2005-06-16 |
| 1245520717 | Jk2c, LLC | Clinic/Center | 109 Wimbledon Sq, Unit H, Chesapeake, VA 23320-4945 | 2011-04-18 |
| 1023329364 | Angela Montejo | Physician Assistant | 109 Wimbledon Sq, Suite G1, Chesapeake, VA 23320-4945 | 2010-06-30 |
| 1043448723 | Ashley N Chieppa | Physician Assistant | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2009-07-01 |
| 1326220831 | Colin Wade Eastwood | Chiropractor | 109 Wimbledon Sq, Suite D, Chesapeake, VA 23320-4945 | 2007-11-27 |
| 1588844930 | Thomas L. Mauser, Inc. | Internal Medicine | 109 Wimbledon Sq, Suite B, Chesapeake, VA 23320-4945 | 2007-11-13 |
| 1720267297 | Virginia Ellen Petree | Chiropractor | 109 Wimbledon Sq, Suite D, Chesapeake, VA 23320-4945 | 2007-10-31 |
| 1073605333 | Mid Atlantic Dermatology | Dermatology | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2006-09-28 |
| 1013008861 | Ophthalmic Consultants of Tidewater PC | Ophthalmology | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2006-09-27 |
| 1376568113 | Thomas Lawson Mauser | Internal Medicine | 109 Wimbledon Sq, Suite B, Chesapeake, VA 23320-4945 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848270 | Thomas W Montag | Obstetrics & Gynecology | 109 Wimbledon Sq, Suite F, Chesapeake, VA 23320-4945 | 2005-08-11 |
| 1760487318 | Stacey J Rogers | Obstetrics & Gynecology | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434420 | Central Virginia Gynecologic Oncology PC | Obstetrics & Gynecology | 9101 Stony Point Dr # 3300, Richmond, VA 23235-1979 | 2019-08-27 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1225460900 | Sherilynn Hummel | Obstetrics & Gynecology | 372 Coles Road, Burgess, VA 22432-0639 | 2013-08-05 |
| 1184811614 | Christopher Kevin Mccann | Obstetrics & Gynecology | 12720 Mcmanus Blvd Ste 308, Newport News, VA 23602-4414 | 2007-09-28 |
| 1861592339 | Randal John West | Obstetrics & Gynecology | 9101 Stony Point Dr Ste 3300, Richmond, VA 23235-1979 | 2006-09-25 |
| 1811948383 | Janet L Osborne | Obstetrics & Gynecology | 1 Riverside Cir Ste 300m, Roanoke, VA 24016-4962 | 2006-05-12 |
| 1699733808 | Chad Andrew Hamilton | Obstetrics & Gynecology | 3289 Woodburn Rd Ste 320, Annandale, VA 22003 | 2006-05-04 |
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1902348139 | Loudoun Medical Group . P.c | Obstetrics & Gynecology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-04 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.