MICHAEL T MONTAGUE PAC NPI 1316948656

NPI Information

  • NPI: 1316948656
  • Provider Name: MICHAEL T MONTAGUE, PAC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1334 N LANSING AVE
    TULSA, OK
    ZIP 74106
  • Phone: (918) 587-2171

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NPI Details

Michael T Montague, PAC is a family medicine in Tulsa, OK with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael T Montague, PAC NPI is 1316948656. 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:

1334 N LANSING AVE
TULSA, OK
ZIP 74106-907
Phone: (918) 587-2171
Fax: (918) 295-6155

The NPI 1316948656 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 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.

  • Hemoglobin a1c level (HCPCS:83036)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 8/9/2005 and was last updated on 6/19/2008.

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
1207Q00000XFamily Medicine1208OKLAHOMAYes

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 Other Provider Identifier Issuer
137-1832OTHEROKLAHOMAMEDICARE
237-1834OTHEROKLAHOMAMEDICARE
3100768880FMEDICAIDOKLAHOMA
4100768880JMEDICAIDOKLAHOMA
5247230102MEDICARE PINOKLAHOMA
6P67021MEDICARE UPIN
7100768880IMEDICAIDOKLAHOMA
8100031840AMEDICAIDOKLAHOMA
937-1803OTHEROKLAHOMAMEDICARE

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: 3/30/2025

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