ELIZABETH MONTGOMERY (NPI# 1659642163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2082 | OK | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
4509 INTEGRIS PKWY STE 200 |
City | EDMOND |
State | OK |
Zip Code | 73034-8696 |
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 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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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.