MEDICARE: MARGARET L MONTGOMERY CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	RN1016301	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	191610	OTHER	PA	HIGHMARK BLUE SHIELD
3	211879	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1043205701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET L MONTGOMERY CNM

Provider Business Mailing Address
First Line	:	106 IRVING ST NW
Second Line	:	SUITE 4700 NORTH
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-877-7479
Fax Number	:	202-877-7414

Provider Business Practice Location Address
First Line	:	106 IRVING ST NW
Second Line	:	SUITE 4700 NORTH
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-877-7479
Fax Number	:	202-877-7414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	05/24/2011

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