National Provider Identifier
John James Montgomery, PHYSICIAN ASSISTANT
John James Montgomery, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 535-9492.
Profile Overview
- NPI
- 1376312702
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 27, 2023
- Last Updated
- January 22, 2024
Practice Location
- 77 Goodell St Ste 340
- Buffalo, NY 14203-1243
Phone: (716) 535-9492
Mailing Address
- 157 Brompton RD
- Williamsville, NY 14221-5944
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1376312702
- Entity Type
- Individual
- Last Name
- Montgomery
- First Name
- John
- Middle Name
- James
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 157 Brompton RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5944
- Mailing Country
- US
- Mailing Phone
- (716) 535-9492
- Practice Street Address
- 77 Goodell St Ste 340
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1243
- Practice Country
- US
- Practice Phone
- (716) 535-9492
- Enumeration Date
- December 27, 2023
- Last Updated
- January 22, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)