Individual provider Active NPI

Emily Elizabeth Montz, PA

  • Physician Assistant
  • Kenner, LA
National Provider Identifier
1205217684
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200834 Issued in LA
Practice address
200 W Esplanade Ave
Ste 210
Kenner, LA 70065-2489
Phone
(504) 464-8588
Fax
(504) 464-8586
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200834 LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
Ste 210
Kenner, LA 70065-2489

Mailing address

2051 Silverside Dr
Suite 260
Baton Rouge, LA 70808-9005
Phone (225) 490-6301

Other identifiers 2

IdentifierTypeStateIssuer
06801502MedicaidMS
2401033MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002546 LA Practitioner - Physician Assistant 7618285040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Restorative Breast Surgery LLCGroup PAC ID 8628980729, 17 clinicians

Practice addresses (Care Compare)

1717 Saint Charles Ave
New Orleans, LA 70130-5223
Phone (504) 899-2800

Hospital & facility affiliations

  • St Charles Surgical Hospital Hospital, New Orleans, LA, CCN 190300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 22, 2016 Accepting new patients
Our Lady of the Lake Physician Group LLC Physician Assistant CurrentSince Aug 17, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 22, 2016 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Sep 25, 2025 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 17, 2015 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

200 W Esplanade Ave
Ste 210
Kenner, LA 70065
Phone (504) 842-7588

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1205217684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 SILVERSIDE DR",
            "address_2": "SUITE 260",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089005",
            "telephone_number": "225-490-6301",
            "fax_number": "225-765-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-464-8588",
            "fax_number": "504-464-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTZ",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06801502",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.