William Henry Montano, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1335 Issued in AK

Practice address

1919 Lathrop St
Suite 204
Fairbanks, AK 99701-5930

Phone

(907) 452-8151

Fax

(907) 452-8153

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• William Montano, M.D., Inc.

  • Surgery Physician
  • Fairbanks, AK
  • NPI 1972874295
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1447228606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-452-8151",
            "fax_number": "907-452-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-452-8151",
            "fax_number": "907-452-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD 1335",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Mayo LLC
• John Monk
• Sally Monk
• Yelena Montag
• Alysen Cynthia Montague, FNP-C
• Dionne Lashawn Montgomery, CNM
• Hope A Monzulla
• Julie Moon, CNM, ARNP
• Moongang Inc
• Christina Moore

• Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.

Verify at the official NPI Registry.