ELIZABETH MONTGOMERY


Address: 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696
Phone: 4056573950

ELIZABETH MONTGOMERY (NPI# 1659642163) 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) 1659642163
Entity Type Individual
Full Name ELIZABETH MONTGOMERY
Other Name ELIZABETH BODINE
Credential P.A
Practice Address 4509 Integris Pkwy Ste 200
Edmond
OK 73034-8696
Mailing Address 5300 N Independence Ave
Suite 280
Oklahoma City
OK 73112-5556
Practice Telephone 4056573950
Practice Fax Number 4054710040
Mailing Telephone (405) 657-3950
Mailing Fax Number 4054710040
Enumeration Date 2012-01-16
Last Update Date 2017-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2082 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELIZABETH MONTGOMERY

NPI Name Taxonomy Address Enumeration
1487149878 Elizabeth Montgomery Social Worker 8 Salt Creek Ln Ste 202, Hinsdale, IL 60521-2903 2018-06-27
1174782015 Elizabeth Kim Montgomery Audiologist-Hearing Aid Fitter 7777 Hennessy Blvd Ste 709, Hearing and Balance Center, Baton Rouge, LA 70808-4366 2008-06-05
1558418483 Elizabeth Montgomery Marriage & Family Therapist 21050 Bush St., Middletown, CA 95461 2007-01-04
1013518901 Elizabeth Montgomery Technician 517 Count Ave, North Las Vegas, NV 89030-8630 2020-11-05
1366041022 Elizabeth Erin Montgomery Registered Nurse 2701 17th St, Rock Island, IL 61201-5351 2020-10-22
1184241416 Elizabeth Nell Montgomery Nurse Practitioner 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 2020-07-02
1720544943 Elizabeth Montgomery Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2019-02-12
1295260909 Elizabeth Montgomery Social Worker 211 W Main St, Sterling, CO 80751-3168 2017-05-01
1811431091 Elizabeth Montgomery Behavioral Analyst 19530 Kedzie Ave, Flossmoor, IL 60422-1778 2016-12-07
1518319763 Elizabeth M Montgomery Case Manager/Care Coordinator 2501 E Piedmont Rd, Marietta, GA 30062-7752 2016-07-11

Office Location

Street Address 4509 INTEGRIS PKWY STE 200
City EDMOND
State OK
Zip Code 73034-8696

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265487946 Justin Scott Sparkes Internal Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2006-05-23
1104484963 Shelby Lynn Plotkin Physician Assistant 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2019-06-05
1003336132 Kelsey Keoppel Family Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2017-06-20
1639599855 Thomas Craig Kupiec II Internal Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034 2014-04-27
1124388293 Heather Nicole Wheeler Family Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2012-05-23
1770669863 Christopher Dickson Hayes Family Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2006-10-31
1659310928 Douglas Ryan Riddle Family Medicine 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 2006-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
Find all providers in zip 73034

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568884047 Bethany J Triana Physician Assistant 3863 South Boulevard, #200, Edmond, OK 73013-5540 2014-01-17
1326312661 Stephani Lynn Jones Physician Assistant 305 S Bryant Ave, Suite 110, Edmond, OK 73034-5726 2012-03-05
1881886851 Dana S Cortez Physician Assistant 925 W I 35 Frontage Rd Ste 100, Edmond, OK 73034-7399 2007-08-14
1649329996 Crystal Hope Fredrickson Physician Assistant 3863 S Boulevard, Edmond, OK 73013-5540 2007-01-09
1952404238 Jamie Shane Massengill Physician Assistant 7555 Winterwood Dr, Edmond, OK 73025-1861 2006-09-05
1508807520 Tommy Dean Camp Physician Assistant 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 2006-06-09
1700248101 Emily John Physician Assistant 1701 Renaissance Blvd, Edmond, OK 73013-3086 2016-03-24
1083072185 Rosa J. Rios Physician Assistant 4801 Integris Pkwy, Edmond, OK 73034-8864 2016-02-03
1316319817 Shelby Rae Stephens Physician Assistant 65 S Saints Blvd, Edmond, OK 73034-3051 2015-10-22
1801293105 Kelly Walker Physician Assistant 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 2014-12-02
Find all providers in EDMOND

Competitor

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City EDMOND
Zip Code 73034

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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