Daniele J Montgomery, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME 66664 Issued in FL

Practice address

9 San Bartola Dr
St Augustine, FL 32086-5767

Phone

(904) 825-4500

Fax

(904) 825-3672

NPI assigned

Apr 27, 2006

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Specialists, LLC

  dba Cancer Specialists of North Florida

  • Hematology & Oncology Physician
  • Jacksonville, FL
  • NPI 1528323268
  Medicare reassignment NPD
• Cancer Specialists, LLC

  dba Florida Specialty Pharmacy

  • Pharmacy
  • Jacksonville, FL
  • NPI 1851656607
  NPD
• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)
• Montgomery and Associates MD

  • Hematology & Oncology Physician
  • St Augustine, FL
  • NPI 1548462021
  NPD (past)
• Regional Consultants in Hematology Oncology, Inc.

  • Hematology & Oncology Physician
  • Jacksonville, FL
  • NPI 1447247762
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1861459661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 AC SKINNER PARKWAY",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-363-2113",
            "fax_number": "904-363-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SAN BARTOLA DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865767",
            "telephone_number": "904-825-4500",
            "fax_number": "904-825-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DANIELE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 66664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "25632S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25632",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024339200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark V Monahan, D.C.
• Monarch Mobile Physical Therapy LLC
• Danielle Lane Montana, L.C.S.W.
• Idalia Montanez-Miranda, PSY.D.
• Montgomery and Associates MD
• Matthew Montgomery, PA-C
• Tracy Montoya, RDH
• Raul A Monzon, MD
• Elisabeth Anne Moody, MS CCC-SLP
• Anna Moon Farrell, MS., CCC-SLP

• Hematology & Oncology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.