MONTGOMERY MEDICAL ASSOCIATES LLC
NPI 1023205754
Clinic/Center in Montgomery, IN

Active since September 26, 2007
542 N 3RD ST, MONTGOMERY, IN 47558(812) 486-2842 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Montgomery Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY MEDICAL ASSOCIATES LLC (NPI 1023205754) is a healthcare organization registered as a clinic/center in Montgomery, Indiana and active in the NPI registry since September 2007. The organization lists Mary Joan Holsopple, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1023205754
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMONTGOMERY MEDICAL ASSOCIATES LLC
Location Address542 N 3RD STMontgomery, IN 47558-5745
Mailing AddressPo Box 102Montgomery, IN 47558-0102 · (812) 486-2842 · Fax (812) 486-2784
Organization SubpartNo
Authorized OfficialMary Joan HolsopplePractice Manager · (812) 486-2842
Enumeration DateSeptember 26, 2007
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1023205754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
542 N 3RD ST, Montgomery, IN 47558

Other Identifiers 1

Medicaid200864610AIN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
542 N 3RD ST
MONTGOMERY, IN 47558
Clinic/Center (Rural Health)
542 N 3RD ST
MONTGOMERY, IN 47558
Social Worker (Clinical)
542 N 3RD ST
MONTGOMERY, IN 47558
Counselor (Mental Health)
542 N 3RD ST
MONTGOMERY, IN 47558
Counselor
542 N 3RD ST
MONTGOMERY, IN 47558
Nurse Practitioner (Family)
542 N 3RD ST
MONTGOMERY, IN 47558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery Medical Associates LLC's NPI number?

The NPI number for Montgomery Medical Associates LLC is 1023205754. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Montgomery Medical Associates LLC located?

Montgomery Medical Associates LLC is located at 542 N 3rd St, Montgomery, IN 47558. The listed phone number is (812) 486-2842.

What is Montgomery Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Montgomery Medical Associates LLC was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.