Loretta Baker-montgomery (NPI# 1023210911, PAC ID# 3072737063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1023210911 |
| PAC ID by PECOS | 3072737063 |
| Professional Enrollment ID | I20190926000775 |
| Full Name | Loretta Baker-montgomery |
| Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Address |
110 S 2nd St Ellington MO 63638-9400 |
| Phone Number | 5736632313 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6709871007 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 110 S 2nd St, Ellington, MO 63638-9400 | 5736632313 | BIG SPRINGS MEDICAL ASSOCIATION |
| Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Jamie Murray | Nurse Practitioner | Big Springs Medical Association | 315 W Mulberry B, Pilot Knob, MO 63663 |
| Rebecca Ann Compton | Nurse Practitioner | Big Springs Medical Association | 405 Main St, Van Buren, MO 63965 |
| Adam Khan Kakar | General Practice | Big Springs Medical Association | 18 Viburnum Ctr Rd, Viburnum, MO 65566-7802 |
| Marsha D Shivley | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
| Michael Moore | Family Medicine | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
| Amber W Richardson | Psychologist, Clinical | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Michelle E Burnham | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
| Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Judith A Medley | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Street Address |
110 S 2ND ST |
| City | ELLINGTON |
| State | MO |
| Zip | 63638-9400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen N Painter | Nurse Practitioner | Fast Pace Kentucky Pllc | 110 S 2nd St, Central City, KY 42330-1506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Judith A Medley | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Susan Marie Norris | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Amy Lee Manning | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| John Mccormack | General Practice | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Tammy J Lindsay | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Tasha L Wisdom | Clinical Social Worker | Family Counseling Center Inc | 315 E Walnut St, Ellington, MO 63638-7943 |
| City | ELLINGTON |
| Zip Code | 63638 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ELLINGTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Loretta Baker-montgomery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.