Individual provider Active NPI

Anthony J Montanaro, DO

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1033216015
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9181 Issued in FL
Practice address
1533 4TH Ave W
Bradenton, FL 34205-5949
Phone
(941) 527-0259
Fax
(941) 527-0263
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003927M OH
Family Medicine Physician 207Q00000X OS9181 FL Primary

Addresses

Primary practice location

1533 4TH Ave W
Bradenton, FL 34205-5949

Mailing address

1533 4TH Ave W
Bradenton, FL 34205-5949
Phone (941) 527-0259

Other identifiers 2

IdentifierTypeStateIssuer
0596645MedicaidOH
278906000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS9181FLMDFamily Medicine Physician
3927OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare America Medical Group, Inc. Family Medicine Past Accepting new patients
Largo Physician Group, LLC Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1033216015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 4TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055949",
            "telephone_number": "941-527-0259",
            "fax_number": "941-527-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 4TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055949",
            "telephone_number": "941-527-0259",
            "fax_number": "941-527-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003927M",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596645",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278906000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.