Michael Montgomery (NPI# 1659340990, PAC ID# 9032114632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659340990 |
| PAC ID by PECOS | 9032114632 |
| Professional Enrollment ID | I20100521000549 |
| Full Name | Michael Montgomery |
| Organization Legal Name | THE FAMILY CLINIC INC |
| Address |
3921 Hwy I 49 S Service Rd Opelousas LA 70570-0758 |
| Phone Number | 3379425706 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143225748 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 191319 | ACADIA ST LANDRY |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 | 3379425706 | THE FAMILY CLINIC INC |
| Organization Legal Name | THE FAMILY CLINIC INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Basile | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Latonya R Kelly | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Nichole Gordon Miller | Nurse Practitioner | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Kevin N Guillory | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Laura Braham | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Street Address |
3921 HWY I 49 S SERVICE RD |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570-0758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Basile | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Latonya R Kelly | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Nichole Gordon Miller | Nurse Practitioner | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Kevin N Guillory | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Laura Braham | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Phillip R Bacilla Jr. | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OPELOUSAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Montgomery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.