John Montgomery, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F9843 Issued in TX

Practice address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Phone

(940) 766-3551

Fax

(940) 763-7817

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1134107261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551",
            "fax_number": "940-763-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F9843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390494-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty D Montellano, NP-C
• Monterey Care Center, L.P. (Monterey Care Center)
• Monterey SNF LLC (Monterey Care Center)
• Darice Montgomery, LPC
• Darla Jo Montgomery, MA, LPC
• Theodore Montgomery, DC
• Annie Ruth Moore, APRN
• Brittney Blevins Moore
• Gradie Elizabeth Moore, M.D.
• Nazanin Moossavi, M.D

• Gynecology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.