MR. MICHAEL ANDREW MONTGOMERY NPI 1003005166

Student in an Organized Health Care Education/Training Program in Ogden, UT

About MICHAEL MONTGOMERY

Michael Montgomery is a provider in Ogden, UT. The NPI number assigned to this provider is 1003005166. The practitioner's primary taxonomy code is Student in an Organized Health Care Education/Training Program (390200000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003005166 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. MICHAEL ANDREW MONTGOMERY
Provider Location Address237 26TH ST OGDEN, UT 84401 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address237 26TH ST OGDEN, UT 84401 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-15-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-15-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. MICHAEL ANDREW MONTGOMERY
237 26TH ST
OGDEN, UT
ZIP 84401
Phone: (801) 625-3700
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Mailing Address

MR. MICHAEL ANDREW MONTGOMERY
237 26TH ST
OGDEN, UT
ZIP 84401
Phone: (801) 625-3700

Primary Taxonomy

Taxonomy Code390200000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
Taxonomy DescriptionAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
876000308007MEDICAID (05)UT

Map Location


MR. MICHAEL ANDREW MONTGOMERY address is 237 26TH ST OGDEN, UT 84401

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033148739 CHERYL IONE MOULDING LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(810) 625-3692
1093744799 ANITA C URE LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1144255589 WENDI LYN DAVIS LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1164457503 JOHN ROGERSON LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1275566374 JAYNE N KASHIWAEDA LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1356370050 BOBETTE W PACE LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1366471062MRS. ANGELA L KRAHULEC NP
Individual
Psychiatry & Neurology (Psychiatry)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1417984485 RICHARD L TUCKER LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1528099231 RANDY A BULLOCK APRN W PP SUB
Individual
Nurse Practitioner237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1538194972 EUGENE W ATKINSON LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1619903499 PAULA SEVER LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1619908324 JED DAVID BURTON LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1649201344 CLARKE SUMMERS MD
Individual
Psychiatry & Neurology (Psychiatry)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1679551956MS. KENDELL B RAAT LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3811
1700817418 KEVIN EASTMAN LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1740219443 ANDREW MICHAEL HANLEY LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1801821244 LINDA TAYLOR LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1891726501 KEITH CHRISTOPHER BENN LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1952332660 FREDRICK D CARLSON LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605
1992730337 JENNETTE MAY WOOD LCSW
Individual
Social Worker (Clinical)237 26TH ST
OGDEN, UT 84401
(801) 625-3605