Montano Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

016871 Issued in CT

Legal business name

MONTANO WELLNESS LLC

Practice address

160 West St Ste 1a
Cromwell, CT 06416-2441

Phone

(860) 632-0144

Fax

(860) 632-7882

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charles Brendan Montano, MDNPI 1487673208

Title

Owner, Medical Director

Phone

(860) 632-0144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18438/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Brendan Montano, MD

  • Internal Medicine Physician
  • Cromwell, CT
  • NPI 1487673208
  Medicare reassignment NPD Authorized official
• Tom Gugel, APRN

  • Family Nurse Practitioner
  • New Haven, CT
  • NPI 1417719626
  NPD (past)
• Edward Charles Hobday, PA-C

  • Physician Assistant
  • Cromwell, CT
  • NPI 1427062892
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1740776954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST ST STE 1A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST ST STE 1A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-632-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Mending, LLC
• Cheneal Ming
• Jessica Minty
• Jacob Molgano, DMD
• Erica Lauren Monson, MA, DSP
• Charles Brendan Montano, MD
• Katherine Mary Moody, CCC-SLP
• Bria Adrianna Moore
• Steven J Moore, RPH
• Danielle Morek

• Internal Medicine Physician in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.