EARL W MONTGOMERY (NPI# 1790755098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790755098 |
| Entity Type | Individual |
| Full Name | EARL W MONTGOMERY |
| Practice Address |
800 S Church St Suite 302 Jonesboro AR 72401-4176 |
| Practice Telephone | 8709353990 |
| Practice Fax Number | 8709350871 |
| Mailing Telephone | 8709353990 |
| Mailing Fax Number | 8709350871 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
R3394 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE RAILROAD CARRIER | 160028809 | 01 |
| AR | 101845001 | 05 | |
| AR | B;UE CROSS | 53738 | 01 |
| AR | EDS BREASTCARE | 770138401 | 01 |
| HUMANA TRICARE | AS00140097 | 01 | |
| AR | QUALCHOICE | 12876000040 | 01 |
| CIGNA | 404882 | 01 |
| Street Address |
800 S CHURCH ST SUITE 302 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430581 | Carl Brady Edwards | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2005-07-11 |
| 1053781088 | Kristen Shayanne Crook | Nurse Practitioner | 800 S Church St, Suite 400, Jonesboro, AR 72401-4176 | 2015-10-02 |
| 1073981056 | Kristen Nicole Luce | Nurse Practitioner | 800 S Church St, Jonesboro, AR 72401-4176 | 2015-09-09 |
| 1922354877 | Crystal Gayle Sutton | Case Manager/Care Coordinator | 800 S Church St, Jonesboro, AR 72401-4176 | 2012-07-30 |
| 1922366004 | Andrew K. Dunham | Obstetrics & Gynecology | 800 S Church St, Ste. 302, Jonesboro, AR 72401-4176 | 2012-04-26 |
| 1417238981 | Kellie Lynn Cox | Nurse Practitioner | 800 S Church St, Ste 400, Jonesboro, AR 72401-4176 | 2011-08-29 |
| 1588942833 | Ascent Chs | Case Management | 800 S Church St, Jonesboro, AR 72401-4176 | 2011-08-03 |
| 1609154954 | Taysia Callie Covington | Case Manager/Care Coordinator | 800 S Church St, Jonesboro, AR 72401-4176 | 2011-08-03 |
| 1811200959 | Melissa A Carter | Nurse Practitioner | 800 S Church St, Suite 400, Jonesboro, AR 72401-4176 | 2010-07-19 |
| 1699086314 | Serena Nicole Vance | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2010-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093786170 | John T St. Clair Jr. | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2006-01-27 |
| 1821068123 | Steven L Emerson | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2006-01-26 |
| 1396715678 | Donald M Berry | Obstetrics & Gynecology | 800 S Church St, Suite 302, Jonesboro, AR 72401-4176 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
| 1922518406 | Jerry Arthur Jones | Obstetrics & Gynecology | 430 Janan Ct, Conway, AR 72034-5606 | 2017-10-10 |
| 1255865036 | Dr. Frances Renee Montgomery | Obstetrics & Gynecology | 1432 Braden St Ste B, Jacksonville, AR 72076-3721 | 2017-04-18 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| 1841541752 | Charles R Henry Jr. | Obstetrics & Gynecology | 5320 Sherwood Rd, Little Rock, AR 72207-5332 | 2012-10-02 |
| 1558620856 | Amanda Leah Spahn | Obstetrics & Gynecology | 8101 Mcclure Dr Ste 100, Fort Smith, AR 72916-6044 | 2012-05-08 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1043386139 | James D Studdard, Md, P.a. | Obstetrics & Gynecology | 904 Autumn Rd Ste 500, Little Rock, AR 72211-3738 | 2006-11-28 |
| 1588754071 | Mamie H Owens | Obstetrics & Gynecology | 9501 Baptist Health Dr Ste 770, Little Rock, AR 72205-6227 | 2006-10-13 |
| 1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
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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.