Dr. John Beaton Montgomery , MD
Pediatrics • Providence, RI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Montgomery has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Montgomery, MD was a registered Pediatrics practicing in Providence, RI. Throughout an active medical career spanning 11 years, Dr. Montgomery provided care at the practice location at 207 WATERMAN STREET until profile deactivation on 2017-09-18.
Practice Location & Contact Primary Location
207 Waterman Street
Providence, RI 02906
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Providence, RI
Practicing in Providence, RI (340 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Career & Practice History Timeline
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Record deactivated on September 18, 2017
NPI status registered as active in NPPES database
Registered at 207 WATERMAN STREET, PROVIDENCE, RI 02906 (Tel: 4012742322)
Registered at 207 WATERMAN STREET, PROVIDENCE, RI 02906 (Tel: 4012742322)
Recorded as JOHN MONTGOMERY, MD
Pediatrics (License #MD3631 in RI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
207 Waterman Street
Providence, RI 02906
Phone: 4012742322
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