Kathleen R. Montemayor, M. D., Faap

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KATHLEEN R. MONTEMAYOR, M. D., FAAP

Doing business as

River's Edge Pediatrics

Practice address

6352 River Rd
New Port Richey, FL 34652-2241

Phone

(727) 844-3551

Fax

(727) 847-0427

NPI assigned

Jul 26, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen R. Montemayor, M.D.NPI 1649270323

Title

Owner

Phone

(727) 844-3551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• River's Edge Pediatrics Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen R. Montemayor, M.D.

  • Pediatrics Physician
  • New Port Richey, FL
  • NPI 1649270323
  NPD (past) Authorized official
• Aldo C. Dondero, M.D.

  • Pediatrics Physician
  • New Port Richey, FL
  • NPI 1437159811
  NPD (past)
• Seema Mital Kubarek, MD

  • Pediatrics Physician
  • Clearwater, FL
  • NPI 1891760484
  NPD (past)
• Mary Josephine Lipana-Lewis, ARNP

  • Nurse Practitioner
  • New Port Richey, FL
  • NPI 1639119829
  NPD (past)
• Cheryl A Schmidt, ARNP, CPNP-PC

  • Pediatric Clinical Nurse Specialist
  • New Port Richey, FL
  • NPI 1881067460
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023018629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522241",
            "telephone_number": "727-844-3551",
            "fax_number": "727-847-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522241",
            "telephone_number": "727-844-3551",
            "fax_number": "727-847-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN R. MONTEMAYOR, M. D., FAAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-844-3551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268389000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Edge Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sekar A Kannusamy
• Todd M Kaplan, M.D.
• Joy I Karp, PT
• Aneetha B Karthik, DMD
• Lul Kassim, FNP
• Richard M Kay, LMHC
• KCVR
• Kehoe Family Chiropractic LLC
• Brian M Kehoe, DC
• Denise Kehoe, DC

• Pediatrics Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.