Organization Active NPI

Kim R. Montee, M.D., P.C.

  • Family Medicine Physician
  • La Grande, OR
National Provider Identifier
1265619233
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD21272 Issued in OR
Legal business name
KIM R. MONTEE, M.D., P.C.
Practice address
710 Sunset Dr
Suite C
La Grande, OR 97850-1200
Phone
(541) 963-4139
Fax
(541) 963-4412
NPI assigned
Jan 22, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kim Ray Montee, M.D.NPI 1598866972
Title
President
Phone
(541) 963-4139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

710 Sunset Dr
La Grande, OR 97850
Phone (541) 663-3100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD21272 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

710 Sunset Dr
Suite C
La Grande, OR 97850-1200

Mailing address

710 Sunset Dr
Suite C
La Grande, OR 97850-1200
Phone (541) 963-4139

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
288079MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2008.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1265619233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR",
            "address_2": "SUITE C",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-963-4139",
            "fax_number": "541-963-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR",
            "address_2": "SUITE C",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-963-4139",
            "fax_number": "541-963-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM R. MONTEE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MONTEE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-963-4139",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288079",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.