Individual provider Active NPI

Suzanne E Monday, MD

  • Family Medicine Physician
  • Greenville, TX
National Provider Identifier
1003818337
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9358 Issued in TX
Practice address
4101 Wesley St
Suite C
Greenville, TX 75401-5635
Phone
(903) 461-1874
Fax
(903) 454-1680
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9358 TX Primary

Addresses

Primary practice location

4101 Wesley St
Suite C
Greenville, TX 75401-5635

Mailing address

PO Box 8128
Greenville, TX 75404-8128
Phone (903) 454-8111

Other identifiers 3

IdentifierTypeStateIssuer
8EY894OtherTXBCBS
285695701MedicaidTX
TXB111773OtherTXPTAN

Other names 1

  • Suzanne E Monday Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001349 TX Practitioner - Family Practice 9032304308 Practice locations: Greenville, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9358TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services, PLLC Family Medicine PastSince Apr 5, 2011 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Suzanne E Monday MD Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1003818337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8128",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048128",
            "telephone_number": "903-454-8111",
            "fax_number": "903-454-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-461-1874",
            "fax_number": "903-454-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDAY",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EY894",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285695701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB111773",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MONDAY",
            "middle_name": "E",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.