Active NPI
Anthony J Montanaro, DO
- Family Medicine Physician
- Bradenton, FL
National Provider Identifier
1033216015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0596645 | Medicaid | OH | |
| 278906000 | Medicaid | FL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9181 | FL | MD | Family Medicine Physician |
| 3927 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1487665642
-
- Pediatrics Physician
- Brooksville, FL
- NPI 1578732889
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.