Individual provider Active NPI

Michelle O Montgomery, DO

  • Obstetrics & Gynecology Physician
  • Manchester, NH
National Provider Identifier
1285166348
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
24396 Issued in NH
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 663-5310
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 70294-21 WI
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 24396 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 621-9100

Other practice location 1

945 N 12th St
Milwaukee, WI 53233-1305
Phone (414) 219-5725

Other practice location 2

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 621-9100

Other names 1

  • Michelle A Osgood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210915000145 ME Practitioner - Obstetrics/Gynecology 4587907266 Reassigns benefits to 1 organization
I20230807001488 NH Practitioner - Obstetrics/Gynecology 4587907266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24396NHMDObstetrics & Gynecology Physician
70294-21WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Aug 29, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic Obstetrics & Gynecology CurrentSince Jul 18, 2023 Accepting new patients
Catholic Medical Center Current Accepting new patients
Catholic Medical Center CurrentSince Jul 12, 2023 Accepting new patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Jul 12, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 29, 2021 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

149 North St
Waterville, ME 04901
Phone (207) 622-1959

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595

Interoperability endpoints

  • Direct secure messaging: michellemontgomery@mgh.allscriptsdirect.net

Organizations & group practices 6

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1285166348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-621-9100",
            "fax_number": "207-623-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532331305",
            "country_code": "US",
            "telephone_number": "414-219-5725",
            "fax_number": "414-219-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043308160",
            "country_code": "US",
            "telephone_number": "207-621-9100",
            "fax_number": "207-623-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHELLE",
        "middle_name": "O",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "70294-21",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "24396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "OSGOOD",
            "middle_name": "A",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.