David M Montgomery MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35029375 Issued in OH

Legal business name

DAVID M MONTGOMERY MD INC

Practice address

403 Clarendon Ave NW
Canton, OH 44708-4505

Phone

(330) 453-7117

Fax

(330) 453-5995

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David M Montgomery, M.D.

Title

Owner/President

Phone

(330) 453-7117

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1508046038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CLARENDON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084505",
            "telephone_number": "330-453-7117",
            "fax_number": "330-453-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CLARENDON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084505",
            "telephone_number": "330-453-7117",
            "fax_number": "330-453-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M MONTGOMERY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-453-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35029375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Daugherty, LPCC
• Heidi Mae Daugherty, CNP
• Ashley Davenport
• Ciara A Davenport, INDEPENDENT PROVIDER
• David F. Pavlick DMD & Associates LLC
• Andrew David, PT, DPT
• Janice David, RN
• Manova David, M.D
• Mary Ellen David, MA, LSW
• Kimberly Ann Davidsaver, RN

• Internal Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.