Montague Blundon, III, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0025637 Issued in MD

Legal business name

MONTAGUE BLUNDON, III, MD, PA

Practice address

5640 Shields Dr
Wyngate Medical Park
Bethesda, MD 20817-3573

Phone

(307) 897-5505

Fax

(301) 897-0887

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Montague Blundon III, M.D.

Title

Owner

Phone

(301) 897-5505

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1114223617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 SHIELDS DR",
            "address_2": "WYNGATE MEDICAL PARK",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173573",
            "telephone_number": "301-897-5505",
            "fax_number": "301-897-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 SHIELDS DR",
            "address_2": "WYNGATE MEDICAL PARK",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173573",
            "telephone_number": "307-897-5505",
            "fax_number": "301-897-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGUE BLUNDON, III, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BLUNDON",
        "authorized_official_first_name": "MONTAGUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-897-5505",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0025637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266081400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Monahan, M.D.
• Betsy Monks, PT
• Monroe Pray Jr MD PA
• Elvin Monsalud, FNP STUDENT
• Brett Monson, MD
• Paul Montalbano, PHD
• Andrew Denis Montemarano, D.O.
• Celina Montemayor-Garcia, M.D.
• Isidora Isabel Monteparo, MD
• Jessica Monterosa

• Orthopaedic Surgery Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.