Doctor profile · Federal record
Dr. Zack Montgomery
Surgery Physician · Student in an Organized Health Care Education/Training Program · Detroit, MI
- NPI 1700469715
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2799 W Grand Blvd Rm 127
Detroit, MI 482022608
(313) 916-3056 - Additional location
-
540 E Canfield St
Detroit, MI 482011928
(313) 577-1463 - Mailing address
-
110 Stephens RD
Grosse Pointe Farms, MI 482363625
Credentials & registration
- NPI registered
- April 2021 — 5 yrs on file
- Profile last updated
- June 15, 2022
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Michigan #4351050165
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700469715. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$320
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Integra LifeSciences Corporation | 1 | $174.92 | |
| Acera Surgical, INC. | 1 | $144.76 |
By nature of payment
Frequently asked questions
What is Dr. Zack Montgomery's medical specialty?
Dr. Zack Montgomery practices Surgery Physician in Detroit, MI.
Where does Dr. Zack Montgomery practice?
Dr. Zack Montgomery practices at 2799 W Grand Blvd Rm 127, Detroit, MI 482022608. Office phone: 3139163056.
What is Dr. Zack Montgomery's NPI?
Dr. Zack Montgomery's National Provider Identifier (NPI) is 1700469715, issued by NPPES.