Montgomery Internal Medicine Assoc., P.a.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.

Practice address

2901 Olney Sandy Spring Rd
Olney, MD 20832-1521

Phone

(301) 774-6655

Fax

(301) 774-5652

NPI assigned

Jul 5, 2006

Last updated

Apr 7, 2010By 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

Dr. Jonathan Maltz, M.D.

Title

President

Phone

(301) 774-6655

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

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.

• Maureen D Passaro, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Olney, MD
  • NPI 1316940141
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1083645220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321521",
            "telephone_number": "301-774-6655",
            "fax_number": "301-774-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321521",
            "telephone_number": "301-774-6655",
            "fax_number": "301-774-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY INTERNAL MEDICINE ASSOC., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "MALTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-774-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9112715",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montgomery Ekg LLP
• Montgomery Family Practice Associates, LLC
• Montgomery General Hospital Inc
• Montgomery General Hospital Inc (The Diabetes and Nutrition Center)
• Montgomery General Hospital, Inc.
• Montgomery Surgical Associates, LLC
• Kristin Simone Moore
• Kathryn Morris, PT
• Taysue Ethel Morris
• Bennett T Morrison, M.D.

• Adult Medicine Physician in Olney, MD
• Providers in Olney, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.