Edwin Montgomery, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14382 Issued in WI

Practice address

N143W6515 Pioneer Rd
Cedarburg, WI 53012-2705

Phone

(262) 377-6933

NPI assigned

Sep 20, 2006

Last updated

Oct 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1740388099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N143W6515 PIONEER RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122705",
            "telephone_number": "262-377-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N143W6515 PIONEER RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122705",
            "telephone_number": "262-377-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "14382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30964600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy A Miles, LPC
• Boyd Miller, MD
• Jessica Leigh Minder, DPM
• Carol Martha Miracle, PHYSICAL THERAPIST
• Lindsey Ann Mongoven, M.S., CCC-SLP
• Jean M Monty, PHD
• Alisa Morrison, MS, BCBA
• Julie E Mossberg, MD
• Jamie Lyn Mueller, APNP
• Muscle and Movement Therapy LLC

• Pediatrics Physician in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; 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.