Individual provider Active NPI

Lance E. Monroe, MD

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1083677058
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5083 Issued in AR
Practice address
4000 Linwood Dr
Suite a
Paragould, AR 72450-7223
Phone
(870) 239-8503
Fax
(870) 240-2017
NPI assigned
Apr 10, 2006
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 C5083 AR Primary

Addresses

Primary practice location

4000 Linwood Dr
Suite a
Paragould, AR 72450-7223

Mailing address

4000 Linwood Dr
Suite a
Paragould, AR 72450-7223
Phone (870) 239-8503

Other identifiers 2

IdentifierTypeStateIssuer
11036000040OtherARQUALCHOICE
117963001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20041207001102 AR Practitioner - Family Practice 4082670476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Health Group, IncGroup PAC ID 7315844586, 23 clinicians

Practice addresses (Care Compare)

4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503

4000 Linwood Dr
Suite a
Paragould, AR 72450-8894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5083ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Current Accepting new patients
Doctors Health Group, Inc CurrentSince Jan 1, 1998 Accepting new patients
Doctors Health Group, Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

Interoperability endpoints

  • Direct secure messaging: lancemonroe@sbpc.medalliesdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1083677058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR",
            "address_2": "SUITE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507223",
            "telephone_number": "870-239-8503",
            "fax_number": "870-240-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR",
            "address_2": "SUITE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507223",
            "telephone_number": "870-239-8503",
            "fax_number": "870-240-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "LANCE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "11036000040",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117963001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.