ELLEN M MONTGOMERY (NPI# 1881669182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881669182 |
| Entity Type | Individual |
| Full Name | ELLEN M MONTGOMERY |
| Credential | PA |
| Practice Address |
2304 W Mercury Blvd Hampton VA 23666-3115 |
| Mailing Address |
5000 Cox Rd Ste 303 Glen Allen VA 23060-9263 |
| Practice Telephone | 7575959880 |
| Practice Fax Number | 7575950362 |
| Mailing Telephone | 8049685700 |
| Mailing Fax Number | 7572328866 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110840718 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 970000324 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326156720 | Ellen Paige Montgomery | Counselor | 1807 Overlake Drive, Suite E, Conyers, GA 30013-1766 | 2006-08-26 |
| 1093208720 | Ellen Montgomery | Dentist | 709 Center Dr Ste 101, San Marcos, CA 92069-2502 | 2018-06-07 |
| Street Address |
2304 W MERCURY BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102101 | Tabetha A Brown | Nurse Practitioner | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2019-03-11 |
| 1205207362 | Latasha Shannon Butler | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2015-10-15 |
| 1538546122 | Kene H Ukeje | Family Medicine | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2015-05-03 |
| 1366841769 | Winghan Sammi Chiu | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2014-08-21 |
| 1225469646 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2013-12-11 |
| 1568891315 | Patient First Richmond Medical Group Pllc | Family Medicine | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2013-11-02 |
| 1730415282 | Arnice Burwell Johnson | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2009-10-19 |
| 1265668537 | Kristin D Negaard | Family Medicine | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2009-06-01 |
| 1053455055 | Virginia Elizabeth Knight | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2007-02-16 |
| 1801992144 | Trissana D Emdadi | Family Medicine | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366832602 | Pakesia Mcghee | Physician Assistant | 2031 Registry Pl, Hampton, GA 30228-6387 | 2015-01-26 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1902870074 | Diane I Schwartz | Physician Assistant | 450 Charlestown Rd, Hampton, NJ 08827-2535 | 2006-02-15 |
| 1659357739 | William Asbury Stephens II | Physician Assistant | 305 Elm St W, Hampton, SC 29924 | 2005-12-20 |
| 1851385512 | Susan Hathaway | Physician Assistant | 879 Lafayette Rd, Hampton, NH 03842 | 2005-09-08 |
| 1437767910 | Stanislav Kozlovski | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2020-07-21 |
| 1144781576 | Kyle David Long | Physician Assistant | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-03-28 |
| 1356895742 | Heather Lynne Mayer | Physician Assistant | 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 | 2016-08-15 |
| 1629427588 | Mary Kathryn Winters | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2016-06-10 |
| 1205207362 | Latasha Shannon Butler | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2015-10-15 |
| Find all providers in HAMPTON | ||||
Please comment or provide details below to improve the information on ELLEN M MONTGOMERY.
| 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.