Individual provider Active NPI

Robert Wright Montague Sr., M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1376889618
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD7633 Issued in TN
Practice address
1121 Healing Springs Rd
Chattanooga, TN 37419-1043
Phone
(423) 821-0667
Fax
(423) 821-6211
NPI assigned
Dec 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD7633 TN Primary

Addresses

Primary practice location

1121 Healing Springs Rd
Chattanooga, TN 37419-1043

Mailing address

1121 Healing Springs Rd
Chattanooga, TN 37419-1043
Phone (423) 821-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1376889618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 HEALING SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191043",
            "telephone_number": "423-821-0667",
            "fax_number": "423-821-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HEALING SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191043",
            "telephone_number": "423-821-0667",
            "fax_number": "423-821-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ROBERT",
        "middle_name": "WRIGHT",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD7633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.