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MR. TOM MONTGOMERY III
NPI 1205225117
Nursing Home Administrator in Muskogee, OK

Active since January 15, 2015
1929 BETTY JANE LN, MUSKOGEE, OK 74403(918) 683-9407 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tom Montgomery Iii NPPES

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

MR. TOM MONTGOMERY III (NPI 1205225117) is an individual nursing home administrator provider in Muskogee, Oklahoma, licensed in Oklahoma (2286) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1205225117
Entity TypeIndividualMale
Primary Taxonomy376G00000X
Provider Legal NameMR. TOM MONTGOMERY III
Location Address1929 BETTY JANE LNMuskogee, OK 74403-1581
Mailing Address1929 Betty Jane LnMuskogee, OK 74403-1581 · (918) 683-9407
Phone(918) 683-9407
Sole ProprietorNo
Enumeration DateJanuary 15, 2015
✔ NPI 1205225117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in OK · 2286
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
1929 BETTY JANE LN, Muskogee, OK 74403
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Other Identifiers 2

Medicaid200106120AOK
Other375174OK · Medicare Provider Enrollment

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 Tom Montgomery's NPI number?

The NPI number for Tom Montgomery is 1205225117. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Tom Montgomery located?

Tom Montgomery practices at 1929 Betty Jane Ln, Muskogee, OK 74403. The listed phone number is (918) 683-9407.

What is Tom Montgomery's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Tom Montgomery was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.