Mark H Montgomery MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME84347 Issued in FL

Legal business name

MARK H MONTGOMERY MD PA

Practice address

9240 Bonita Beach Rd SE
Suite 1106
Bonita Springs, FL 34135-4249

Phone

(239) 495-6200

Fax

(239) 495-6247

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark H Montgomery, MDNPI 1528012655

Title

Owner/Physician

Phone

(239) 495-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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

• Mark Harlow Montgomery, M.D.

  • Otolaryngic Allergy Physician
  • Bonita Springs, FL
  • NPI 1528012655
  Medicare reassignment NPD Authorized official
• Kathleen Marie Rocuant, AUD

  • Audiologist
  • Cape Coral, FL
  • NPI 1871589549
  Medicare reassignment Care Compare group NPD
• Price Sei Sonkarley, M.D.

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1396159661

  Single Specialty

  Medicare reassignment Care Compare group NPD
• James A Hadley, MD

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1730112640
  Medicare reassignment NPD
• Lisa Montgomery Browning, PA-C

  • Medical Physician Assistant
  • Clearwater, FL
  • NPI 1215362884
  NPD (past)
• Viktoria Graham, PA

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1669907358
  NPD (past)
• Elizabeth Mulvey, PA-C

  • Physician Assistant
  • Sarasota, FL
  • NPI 1639645294
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1851697023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE",
            "address_2": "SUITE 1106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354249",
            "telephone_number": "239-495-6200",
            "fax_number": "239-495-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE",
            "address_2": "SUITE 1106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354249",
            "telephone_number": "239-495-6200",
            "fax_number": "239-495-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H MONTGOMERY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-495-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME84347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Marciano, DMD
• Margaret a Thomson LCSW (Peggy A Thomson LCSW)
• Margo English, LCSW, LLC
• Mark E Petrites MD PA
• Mark Goldstein, MD, PA
• John Raymond Marnocha, MD
• Shirley Marquez, D.D.S
• Chabely Marsh, PHARMD
• Penelope Marshall, M.S.W.
• Daniel James Martin

• Medical Specialty Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.