Mildred Montalvo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1874071 Issued in NY

Practice address

421 Main St
Oneida, NY 13421-2440

Phone

(315) 363-2350

Fax

(315) 361-1827

NPI assigned

Sep 7, 2006

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 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952404725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212440",
            "telephone_number": "315-363-2350",
            "fax_number": "315-361-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212440",
            "telephone_number": "315-363-2350",
            "fax_number": "315-361-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MILDRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1874071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01267041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothea Metzler, LPN
• Timothy Mihm, P.A.
• Cynthia Miller, LPN
• Kathleen Ann Miller, F.N.P.
• Meghan Mohran, CRNP
• Michele L Moore, NP
• Mark Moosikasuwan, M.D.
• Stephanie Morehouse, MHC
• Eric D Moses, MD
• Joycelyn A Mowers, LPN

• Pediatrics Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.