Active NPI
F. Renee Montgomery, MD, PA
- Gynecology Physician
- Sherwood, AR
National Provider Identifier
1528323748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C7952
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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 DirectoryLocations
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.