Active NPI
Thomas Francis Monahan, M.D.
- Emergency Medicine Physician
- River Falls, WI
National Provider Identifier
1114901915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 56105-20
- Practice address
- 1687 E Division St
River Falls, WI 54022-1571 - Phone
- (800) 514-9204
- Fax
- (715) 426-3994
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56105-20 | WI | Primary |
| Emergency Medicine Physician | 207P00000X | 26998 | MN |
Addresses
Primary practice location
1687 E Division St
River Falls, WI 54022-1571
Mailing address
1687 E Division St
River Falls, WI 54022-1571
Phone (800) 514-9204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31882400 | Medicaid | MN | |
| 343272600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26999 | MN | MD | Clinical Social Worker |
| 26998 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Memorial Hospital Association Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
1500 Curve Crest Blvd W
Stillwater, MN 55082
921 Greeley St S
West Lakeland, MN 55082
Organizations & group practices 1
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.
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330819200000",
"number": "1114901915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 E DIVISION ST",
"city": "RIVER FALLS",
"state": "WI",
"postal_code": "540221571",
"telephone_number": "800-514-9204",
"fax_number": "715-426-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 E DIVISION ST",
"city": "RIVER FALLS",
"state": "WI",
"postal_code": "540221571",
"telephone_number": "800-514-9204",
"fax_number": "715-426-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2012-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "56105-20",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "26998",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31882400",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343272600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in River Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.