LARRY MONTGOMERY (NPI# 1760092340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760092340 |
| Entity Type | Individual |
| Full Name | LARRY MONTGOMERY |
| Practice Address |
1900 E Ithica St Broken Arrow OK 74012-1820 |
| Practice Telephone | 9183463094 |
| Mailing Telephone | 9183463094 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333300000X | Emergency Response System Companies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795815 | Larry Lee Montgomery | Family Medicine | 8342 Perkins Rd, Suite M, Baton Rouge, LA 70810-1084 | 2006-07-20 |
| 1376542365 | Larry Rewel Montgomery | Chiropractor | 401 E 6th Ave, Belton, TX 76513-2667 | 2005-07-20 |
| Street Address |
1900 E ITHICA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790960474 | Independence Technologies | Emergency Response System Companies | 1725 W Reno St, Broken Arrow, OK 74012-1460 | 2007-12-31 |
| 1043495666 | Metro Security Systems L.L.C. | Emergency Response System Companies | 1725 W Reno St, Broken Arrow, OK 74012-1460 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576669 | Seneca Cayuga Nation | Emergency Response System Companies | 24591 S 655 Rd, Grove, OK 74344-4015 | 2018-11-12 |
| 1134479850 | Companion Call Light, Inc. | Emergency Response System Companies | 408 Alpine Drive, Norman, OK 73072-5115 | 2012-09-11 |
| 1710940200 | Medical Services of America Inc | Emergency Response System Companies | 3803 W Main St, Durant, OK 74701-4568 | 2006-04-07 |
| 1871914754 | Imed Alert Systems LLC | Emergency Response System Companies | 1501 Se 4th St, Moore, OK 73160-8231 | 2013-12-19 |
| 1558638437 | Southern Oklahoma Lifeline LLC | Emergency Response System Companies | 107 W Main St, Ada, OK 74820-5401 | 2011-11-21 |
| City | BROKEN ARROW |
| Zip Code | 74012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.