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ELIZABETH MONTGOMERY P.A NPI 1659642163


NPI Information

NPI: 1659642163
Provider Name: ELIZABETH MONTGOMERY, P.A
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: INTEGRIS AMBULATORY CARE CORPORATION

PECOS Registration: Yes

CLIA Number: 37D0938144

Address:
4509 INTEGRIS PKWY STE 200
EDMOND, OK
ZIP 73034
Phone: (405) 657-3950
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Elizabeth Montgomery, P.A is a medical physician assistant in Edmond, OK with 13 years of experience. Elizabeth Montgomery, P.A NPI is 1659642163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4509 INTEGRIS PKWY STE 200
EDMOND, OK
ZIP 73034-696
Phone: (405) 657-3950
Fax: (405) 471-0040

The NPI 1659642163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 37D0938144 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 1/16/2012 and was last updated on 8/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical2082OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.