Organization Active NPI

F. Renee Montgomery, MD, PA

  • Gynecology Physician
  • Sherwood, AR
National Provider Identifier
1528323748
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C7952 Issued in AR
Legal business name
F. RENEE MONTGOMERY, MD, PA
Practice address
2402 Wildwood Ave
Suite 115
Sherwood, AR 72120-5084
Phone
(501) 992-2905
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
F. Renee Montgomery, M.D.
Title
Owner
Phone
(501) 992-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X C7952 AR Primary

Addresses

Primary practice location

2402 Wildwood Ave
Suite 115
Sherwood, AR 72120-5084

Mailing address

2233 Goff Dr
Batesville, AR 72501-7742
Phone (501) 992-2905

National Provider Directory

National Provider Directory

Locations

2402 Wildwood Ave
Ste 115
Sherwood, AR 72120
Phone (501) 983-2199

2402 Wildwood Ave
#S115
Sherwood, AR 72120
Phone (501) 992-2905

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1528323748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 GOFF DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017742",
            "telephone_number": "501-992-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WILDWOOD AVE",
            "address_2": "SUITE 115",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205084",
            "telephone_number": "501-992-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. RENEE MONTGOMERY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-992-2905",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "C7952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.