Organization Active NPI

Montgomery Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1588017834
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MONTGOMERY GYNECOLOGY LLC
Practice address
115 Plymouth Rd
#C5
Plymouth Meeting, PA 19462-1407
Phone
(215) 444-3411
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Hema Jonnalagadda, MD
Title
Owner
Phone
(215) 444-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

115 Plymouth Rd
#C5
Plymouth Meeting, PA 19462-1407

Mailing address

115 Plymouth Rd
#C5
Plymouth Meeting, PA 19462-1407
Phone (215) 444-3411

National Provider Directory

National Provider Directory

Locations

115 Plymouth Rd
#C5
Plymouth Meeting, PA 19462
Phone (215) 444-3411

115 Plymouth Rd
Ste C5
Plymouth Mtng, PA 19462
Phone (215) 444-3411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16261/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1588017834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PLYMOUTH RD",
            "address_2": "#C5",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621407",
            "telephone_number": "215-444-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PLYMOUTH RD",
            "address_2": "#C5",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621407",
            "telephone_number": "215-444-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-444-3411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.