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EARL W MONTGOMERY NPI 1790755098


NPI Information

NPI: 1790755098
Provider Name: EARL W MONTGOMERY
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
800 S CHURCH ST
SUITE 302
JONESBORO, AR
ZIP 72401
Phone: (870) 935-3990
Get Directions

Earl W Montgomery is a gynecology obstetrics gynecology in Jonesboro, AR. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Earl W Montgomery NPI is 1790755098. 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:

800 S CHURCH ST
SUITE 302
JONESBORO, AR
ZIP 72401-176
Phone: (870) 935-3990
Fax: (870) 935-0871

The enumeration date for this NPI number is 1/26/2006 and was last updated on 9/12/2012.


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
1207VG0400XObstetrics & GynecologyGynecologyR3394ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1770138401OTHERARKANSASEDS BREASTCARE
2101845001MEDICAIDARKANSAS
3404882OTHERCIGNA
4D04797MEDICARE UPIN
512876000040OTHERARKANSASQUALCHOICE
6160028809OTHERARKANSASMEDICARE RAILROAD CARRIER
753738OTHERARKANSASB;UE CROSS
8AS00140097OTHERHUMANA TRICARE
9537386911MEDICARE PINARKANSAS

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

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.