MR. TRAVIS J MONTGOMERY (NPI# 1154323731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154323731 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS J MONTGOMERY |
| Credential | DPM |
| Practice Address |
3731 Guion Road Suite C Indianapolis IN 46222-7604 |
| Practice Telephone | 3179310664 |
| Practice Fax Number | 3179270924 |
| Mailing Telephone | 3179310664 |
| Mailing Fax Number | 3179270924 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07001006A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200525150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054696 | Travis Montgomery | Specialist/Technologist, Other | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2018-08-27 |
| 1316210040 | Travis H Montgomery | Physician Assistant | 222 Medical Cir, Morehead, KY 40351-1179 | 2012-02-10 |
| Street Address |
3731 GUION ROAD SUITE C |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396932695 | North Central Indiana Podiatry | Podiatrist | 3731 Guion Road, Suite C, Indianapolis, IN 46222-7604 | 2007-10-01 |
| 1790983906 | Lanie Kay Huffman | Podiatrist | 3731 Guion Road, Suite A, Indianapolis, IN 46222-7604 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1831436575 | Central Indiana Podiatry, PC | Podiatrist | 7098 N Shadeland Ave, Indianapolis, IN 46220-4273 | 2013-01-15 |
| 1952657157 | Alona Foot and Ankle, P.C. | Podiatrist | 3026 Tinkersfield Ln, Indianapolis, IN 46214-1601 | 2012-07-25 |
| 1740547769 | Mieasha Hicks Barksdale | Podiatrist | 1801 Senate Blvd Ste 610, Indianapolis, IN 46202 | 2012-04-15 |
| 1992986582 | Bradford Samuel Legge | Podiatrist | 5471 Georgetown Rd Ste C, Indianapolis, IN 46254-5794 | 2007-11-25 |
| 1568518314 | Irwin B. Malament Dpm A Professional Corporation | Podiatrist | 3410 N High School Rd Ste C, Indianapolis, IN 46224-1100 | 2007-01-26 |
| 1639288756 | James Louis Hilaire | Podiatrist | 7962 Oaklandon Rd, Indianapolis, IN 46236-7506 | 2006-08-30 |
| 1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
Please comment or provide details below to improve the information on MR. TRAVIS J MONTGOMERY.
| 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.