Provider Demographics
NPI:1912974965
Name:MONTES, ANITA CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:CLAIRE
Last Name:MONTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:915 TATE BLVD SE
Mailing Address - Street 2:STE 170
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4042
Mailing Address - Country:US
Mailing Address - Phone:828-345-0800
Mailing Address - Fax:828-345-0350
Practice Address - Street 1:915 TATE BLVD SE
Practice Address - Street 2:STE 170
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4042
Practice Address - Country:US
Practice Address - Phone:828-345-0800
Practice Address - Fax:828-345-0350
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC39652207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC208957518OtherPRIMARY PHYSICIAN CARE
NC208957518OtherHUMANA
NC0703154OtherUNITED HEALTHCARE
NC208957518OtherWELLS FARGO, TPA
NC641727OtherWELLPATH PROVIDER ID
NC198754OtherMEDCOST
NC7960077Medicaid
NC4455939OtherAETNA
NC208957518OtherGREAT-WEST
NC208957518OtherPREMIER HEALTH SYSTEMS
NC208957518OtherTRICARE NORTH
NC3493336OtherCIGNA
NC60077OtherBCBS
NC641727OtherWELLPATH PROVIDER ID
NC208957518OtherPREMIER HEALTH SYSTEMS