DOUGLAS J MONTGOMERY PA-C NPI 1437291226

NPI Information

NPI: 1437291226
Provider Name: DOUGLAS J MONTGOMERY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9250 BLUE ASH RD
CINCINNATI, OH
ZIP 45242
Phone: (513) 792-7445
Get Directions

Douglas J Montgomery, PA-C is a surgical physician assistant in Cincinnati, OH. Douglas J Montgomery, PA-C NPI is 1437291226. 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:

9250 BLUE ASH RD
CINCINNATI, OH
ZIP 45242-822
Phone: (513) 792-7445
Fax: (513) 791-4042

The NPI 1437291226 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 9/22/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	50.000196	OHIO	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	Other Provider Identifier Issuer
1	1630393	OTHER	OHIO	GATEWAY HEALTH
2	H155980	OTHER	OHIO	MEDICARE
3	P01191326	OTHER	OHIO	RAILROAD MEDICARE
4	752112	OTHER	OHIO	WELLCARE
5	K052931	OTHER	KENTUCKY	MEDICARE
6	5188071	OTHER	OHIO	AETNA
7	P01252598	OTHER	KENTUCKY	RAILROAD MEDICARE
8	P10000897204	OTHER	OHIO	BUCKEYE
9	0077329	OTHER	OHIO	MEDICAID
10	272352575063	OTHER	OHIO	CARESOURCE
11	791940	OTHER	OHIO	ANTHEM

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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