Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Montgomery, PA-C

Individual provider Physician Assistant · NPI 1104835594

Jason Montgomery, PA-C is a Physician Assistant in Muncie, Indiana. Licensed in Colorado and Indiana. Registered with an NPI since 2006.

Licensed in
CO, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3750 N Briarwood Ln
Muncie, IN 47304
Phone: (765) 213-6373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3167 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 10000879A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104835594
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESOctober 20, 2021
Certification dateSeptember 21, 2021

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