STEFAN MONTGOMERY MD FAMILY & SPORTS MEDICINE, PA - NPI 1083762819

Q: What is Stefan Montgomery MD Family & Sports Medicine, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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About Stefan Montgomery Md Family & Sports Medicine, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFAN MONTGOMERY MD FAMILY & SPORTS MEDICINE, PA (NPI 1083762819) is a healthcare organization registered as a sports medicine in Orangeburg, South Carolina and active in the NPI registry since January 2007. The organization lists Stefan L Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1083762819

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameSTEFAN MONTGOMERY MD FAMILY & SPORTS MEDICINE, PA

Location Address2850 PELHAM CTOrangeburg, SC 29118-1400

Mailing AddressPo Box 1785Orangeburg, SC 29116-1785 · (803) 395-4499 · Fax (803) 395-4480

Phone(803) 531-8500

Organization SubpartNo

Authorized OfficialStefan L MontgomeryOwner · (803) 531-8500

Enumeration DateJanuary 8, 2007

Last NPPES UpdateSeptember 8, 2008

✔ NPI 1083762819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2850 PELHAM CT, Orangeburg, SC 29118

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Other Identifiers 13

MedicaidGP4594SC

Medicare UPINI10994SC

Other20059042SC · Select Health

Other7259579SC · Aetna

Medicare PINP00368110SC

MedicaidDE2500SC

Medicare NSC5911960001SC

Other000000199439SC · Unison

Other000000199441SC · Unison

Medicare PIN8671SC

Other7455015SC · Cigna

Medicaid272779SC

Medicare PINAA05378671SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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