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MONTGOMERY MEDICAL SERVICES PLLC NPI 1568431443


NPI Information

NPI: 1568431443
Provider Name: MONTGOMERY MEDICAL SERVICES, PLLC

Doing Business As: MONTGOMERY CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 18D1027453

Address:
644 MAYSVILLE RD
SUITE 10
MT STERLING, KY
ZIP 40353
Phone: (859) 499-1000
Get Directions

MONTGOMERY MEDICAL SERVICES, PLLC is a hematology and oncology internal medicine in Mt Sterling, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MONTGOMERY MEDICAL SERVICES, PLLC NPI is 1568431443. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Montgomery Cancer Center.

The provider's business location address is:

644 MAYSVILLE RD
SUITE 10
MT STERLING, KY
ZIP 40353-464
Phone: (859) 499-1000
Fax: (859) 499-4181

The provider's authorized official is Muhammad-ali Akram Zaydan .
The authorized official title is Physician and has the following contact phone number (859) 499-1000.

The CLIA number assigned to this NPI record is 18D1027453 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/23/2016.


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
1363LF0000XNurse PractitionerFamily3004221KENTUCKYNo
2207RH0003XInternal MedicineHematology & Oncology37117KENTUCKYYes

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
19141MEDICARE PINKENTUCKY
265941130MEDICAIDKENTUCKY

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: 5/5/2024

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