Active NPI
Thomas J. Montgomery, M.D., P.C.
- Sports Medicine (Orthopaedic Surgery) Physician
- Lafayette, LA
National Provider Identifier
1508057696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 020154
- Legal business name
- THOMAS J. MONTGOMERY, M.D., P.C.
- Practice address
- 449 Heymann Blvd
Lafayette, LA 70503-2616 - Phone
- (337) 235-2264
- Fax
- (337) 232-4426
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Joseph Montgomery, M.D.
- Title
- Owner
- Phone
- (337) 235-2264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 020154 | LA | Primary |
Addresses
Primary practice location
449 Heymann Blvd
Lafayette, LA 70503-2616
Mailing address
449 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 235-2264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1449121 | Medicaid | LA |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
449 Heymann Blvd
Lafayette, LA 70503
Phone (337) 235-2264
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lafayette, LA
- NPI 1548230048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1508057696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032616",
"telephone_number": "337-235-2264",
"fax_number": "337-232-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032616",
"telephone_number": "337-235-2264",
"fax_number": "337-232-4426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J. MONTGOMERY, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-235-2264",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "LA",
"license": "020154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1449121",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.