Provider Demographics
NPI:1083412688
Name:MONTGOMERY, TROY
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:MONTGOMERY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 COLERAIN AVE STE 200B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5329
Mailing Address - Country:US
Mailing Address - Phone:513-693-7330
Mailing Address - Fax:513-245-1317
Practice Address - Street 1:7225 COLERAIN AVE STE 200B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5329
Practice Address - Country:US
Practice Address - Phone:513-693-7330
Practice Address - Fax:513-245-1317
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)