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MR. TRAVIS MONTGOMERY RNFA
NPI 1679054696
Specialist/Technologist, Other - Surgical Assistant in Oak Lawn, IL

Active since August 27, 2018
4400 W 95TH ST STE 308, OAK LAWN, IL 60453(708) 346-4040(708) 346-3287 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 8, 2020, Aug 27, 2018 (2 updates tracked since 2018).

About Mr. Travis Montgomery Rnfa NPPES

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

MR. TRAVIS MONTGOMERY RNFA (NPI 1679054696) is an individual surgical assistant in Oak Lawn, Illinois, licensed in Illinois (238000654) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1679054696
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. TRAVIS MONTGOMERYCredential: RNFA
Location Address4400 W 95TH ST STE 308Oak Lawn, IL 60453-2660
Mailing Address9500 Bormet Dr Ste 204Mokena, IL 60448-8399 · (708) 346-4044 · Fax (708) 346-3287
Phone(708) 346-4040
Fax(708) 346-3287
Sole ProprietorYes
Enumeration DateAugust 27, 2018
Last NPPES UpdateApril 8, 20202 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
✔ NPI 1679054696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in IL · 238000654
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 041472495 (IL)
4400 W 95TH ST STE 308, Oak Lawn, IL 60453
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Other Identifiers 2

Other041472495IL · Il Rn License
Other238000654IL · Il Sa License

Other Providers at the Same Location NPPES 20

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

NINA DELAVARI D.O
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
ZACHARY BYINGTON PA-C
Physician Assistant (Surgical)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
MRS. ANNIE AUN WEI PAUWAA PA-C
Physician Assistant (Surgical)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
CHELSEA JARIWALA PA
Physician Assistant (Surgical)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
DR. DAVID R. STERN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
DR. PATROKLOS STEVEN PAPPAS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
MR. ABRAHAM KATZ MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040
CHRISTINA M CARABALLO PA-C
Physician Assistant
4400 W 95TH ST STE 308
OAK LAWN, IL 60453
Cook County (708) 346-4040

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 Travis Montgomery's NPI number?

The NPI number for Travis Montgomery is 1679054696. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Travis Montgomery located?

Travis Montgomery practices at 4400 W 95th St Ste 308, Oak Lawn, IL 60453. The listed phone number is (708) 346-4040.

What is Travis Montgomery's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Travis Montgomery was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.