Individual
ROGER C MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 E. LONGVIEW ST., FAYETTEVILLE, AR 72703
(479) 713-7385
(479) 444-7120
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
N-8043
AR
207R00000X
Internal Medicine Physician
17227
OK
207R00000X
Internal Medicine Physician
N-8043
AR
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
N-8043
AR
208M00000X
Hospitalist Physician
N-8043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117900001
—
AR
01
—
54200
AR BC/BS
AR
Enumeration date
06/29/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us