JUSTINE C MONTGOMERY (NPI# 1740513563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740513563 |
| Entity Type | Individual |
| Full Name | JUSTINE C MONTGOMERY |
| Other Name | JUSTINE C HORNER |
| Credential | PA |
| Practice Address |
430 Stonycreek St Boswell PA 15531-1024 |
| Mailing Address |
Po Box 340 136 S Pine Ave Stoystown PA 15563-6002 |
| Practice Telephone | 8146295612 |
| Practice Fax Number | 8146297199 |
| Mailing Telephone | 8148935568 |
| Mailing Fax Number | 8148935989 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053952 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1031963260001 | 05 |
| Street Address |
430 STONYCREEK ST |
| City | BOSWELL |
| State | PA |
| Zip Code | 15531-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396930475 | Misty C Toro | Nurse Practitioner | 430 Stonycreek St, Boswell, PA 15531-1024 | 2007-09-11 |
| 1699240127 | Jocelyn Anne Emert | Physician Assistant | 430 Stonycreek St, Boswell, PA 15531-1024 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031871 | Cynthia Marie Neri | Chiropractor | 9132 Somerset Pike, Ste A, Boswell, PA 15531 | 2005-11-21 |
| 1487843579 | Total Mobility Services, Inc. | Durable Medical Equipment & Medical Supplies | 4785 Penn Ave, Boswell, PA 15531-0007 | 2007-10-15 |
| 1962875419 | Janice Baker | Registered Nurse | 1004 Morris Ave, Boswell, PA 15531-1004 | 2015-11-05 |
| 1922045202 | Boswell Volunteer Fire Dept Inc | Ambulance | 606 Hower Ave, Boswell, PA 15531-1113 | 2006-06-02 |
| 1427201615 | Boswell Dental Center, Inc | Dentist | 403 Main St, Boswell, PA 15531-1116 | 2008-10-31 |
| 1477705119 | Boswell Dental Clinic | Dentist | 403 Main St, Boswell, PA 15531-1116 | 2008-10-14 |
| 1851482962 | John William Miller | Dentist | 403 Main St, Boswell, PA 15531-1116 | 2006-09-27 |
| 1417902875 | North Star School District | Local Education Agency (LEA) | 1200 Morris Ave, Boswell, PA 15531-1231 | 2006-05-24 |
| 1447369608 | Boswell Prescription Center, LLC | Pharmacy | 210 Ohio St, Suite A, Boswell, PA 15531-1245 | 2006-08-30 |
| 1942335963 | Walnut Management Corporation | Durable Medical Equipment & Medical Supplies | 210 Ohio St, Suite C, Boswell, PA 15531-1245 | 2007-02-22 |
| Find all providers in zip 15531 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699240127 | Jocelyn Anne Emert | Physician Assistant | 430 Stonycreek St, Boswell, PA 15531-1024 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.