Active NPI
Gregory F Montgomery
- Vascular Surgery Physician
- Harrisonburg, VA
National Provider Identifier
1427054113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101038521
- Practice address
- 2006 Health Campus Dr
Harrisonburg, VA 22801-8679 - Phone
- (540) 689-5800
- Fax
- (540) 689-5801
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101038521 | VA | Primary |
Addresses
Primary practice location
2006 Health Campus Dr
Harrisonburg, VA 22801-8679
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-7036
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128741000 | Other | VA | WV MEDICAID |
| 1427054113 | Medicaid | VA | |
| 1000870001 | Other | VA | DME PROVIDER |
| 5266237 | Other | VA | CIGNA |
| 762076 | Other | VA | SOUTHERN HEALTH |
| 345911 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101038521 | VA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1427054113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228031430",
"telephone_number": "540-564-7036",
"fax_number": "540-564-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 HEALTH CAMPUS DR",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228018679",
"telephone_number": "540-689-5800",
"fax_number": "540-689-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "GREGORY",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101038521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MEDICAID",
"identifier": "0128741000",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427054113",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROVIDER",
"identifier": "1000870001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5266237",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "762076",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "345911",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.