MAURICE J MONTAG MD NPI 1538271788

NPI Information

NPI: 1538271788
Provider Name: MAURICE J MONTAG, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
400 S 43RD ST
RENTON, WA
ZIP 98055
Phone: (425) 228-3450
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Maurice J Montag, MD is an emergency medical services emergency medicine in Renton, WA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Maurice J Montag, MD NPI is 1538271788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 S 43RD ST
RENTON, WA
ZIP 98055-714
Phone: (425) 228-3450

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	MD00017213	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	185266	OTHER	WASHINGTON	LABOR&INDUSTRIES PROV #
2	000103599	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MEDICARE PART B PROV #
3	1501303	MEDICAID	WASHINGTON
4	A05203	MEDICARE UPIN	WASHINGTON
5	M686	OTHER	WASHINGTON	REGENCE B/S PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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