Diana Michelle Montgomery (NPI# 1457356347, PAC ID# 6204722580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457356347 |
| PAC ID by PECOS | 6204722580 |
| Professional Enrollment ID | I20040224000781 |
| Full Name | Diana Michelle Montgomery |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Address |
305 W Main St A Nea Baptist Clinic Trumann Trumann AR 72472-3114 |
| Phone Number | 8709358388 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961547526 |
| Number of Group Practice Members | 223 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 | 8709358388 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| Zuag Yang | Physician Assistant | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 |
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Kimberly M Crosskno | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 616 W Keiser Ave, Nea Baptist Clinic Osceola, Osceola, AR 72370-3504 |
| Neal E Tice | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 909 Enterprise Dr, Nea Baptist Clinic, Jonesboro, AR 72401-9201 |
| Steven D Vanderbilt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 2205 W Parker Rd, Nea Baptist Clinic Woodsprings, Jonesboro, AR 72404-7778 |
| Natalie N Martin | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 102 W Smith, Nea Baptist Clinic Brookland, Brookland, AR 72417-0248 |
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Garrett T Wray | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4700 W Kingshighway, Nea Baptist Clinic Paragould, Paragould, AR 72450-3465 |
| Meghan Lindsay Lyerly | Family Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 8170 Hwy 49 N, Brookland, AR 72417-8992 |
| Street Address |
305 W MAIN ST A NEA BAPTIST CLINIC TRUMANN |
| City | TRUMANN |
| State | AR |
| Zip | 72472-3114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Michael W Traylor Ii | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Brandon K Garner | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derrick M Wood | Chiropractic | 201 Hwy 463 S, Trumann, AR 72472-1640 | |
| Wade V Drury | Clinical Social Worker | Families, Inc of Arkansas | 1704 Hwy 69 W, Truman, AR 72472-2029 |
| Ashley D Madden | Clinical Social Worker | Families, Inc of Arkansas | 1704 Hwy 69 W, Truman, AR 72472-2029 |
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| City | TRUMANN |
| Zip Code | 72472 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TRUMANN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diana Michelle 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.