THOMAS R MONTGOMERY M.D. NPI 1730134198

NPI Information

NPI: 1730134198
Provider Name: THOMAS R MONTGOMERY, M.D.
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

Address:
601 CHILDRENS LN
NORFOLK, VA
ZIP 23507
Phone: (757) 668-2840
Get Directions

Thomas R Montgomery, M.D. is a neurodevelopmental disabilities pediatrics in Norfolk, VA. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Thomas R Montgomery, M.D. NPI is 1730134198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-910
Phone: (757) 668-2840
Fax: (757) 668-2845

The enumeration date for this NPI number is 5/24/2006 and was last updated on 12/17/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0101035588	VIRGINIA	No
2	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	0101035588	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	006722440	MEDICAID	VIRGINIA
2	E73541	MEDICARE UPIN
3	370000931	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
4	130371600	MEDICAID	MARYLAND
5	890534Y	MEDICAID	NORTH CAROLINA
6	0018739090001	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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