NPI 1902834898 · live from the CMS NPI Registry
Roger C Montgomery, M.D.
Family Medicine, Hospice and Palliative Medicine in Fayetteville, AR. National Provider Identifier 1902834898, active.
NPI record
| NPI | 1902834898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 325 E. Longview St., Fayetteville, AR 72703 |
| Practice phone | 479-713-7385 |
| Mailing address | Po Box 550, Lowell, AR 72745 |
| Enumerated | June 29, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 17227 (OK) |
| Internal Medicine | 207R00000X | N-8043 (AR) |
| Pediatrics, Hospice and Palliative Medicine | 2080H0002X | N-8043 (AR) |
| Hospitalist | 208M00000X | N-8043 (AR) |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | N-8043 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.