Stephen W. Montgomery, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

STEPHEN W. MONTGOMERY, MD, PA

Practice address

101 N Missouri Ave
Roswell, NM 88203-4657

Phone

(575) 623-8420

Fax

(575) 623-8421

NPI assigned

Mar 19, 2012

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Wilder Montgomery, MD

Title

President

Phone

(575) 623-8420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1922373349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MISSOURI AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034657",
            "telephone_number": "575-623-8420",
            "fax_number": "575-623-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MISSOURI AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034657",
            "telephone_number": "575-623-8420",
            "fax_number": "575-623-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. MONTGOMERY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-623-8420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.