Individual provider Active NPI

George David Munday, M.D.

  • Urology Physician
  • Paragould, AR
National Provider Identifier
1235108432
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-12405 Issued in AR
Practice address
4000 Linwood Drive
Suite G
Paragould, AR 72450
Phone
(870) 239-8268
Fax
(870) 239-8277
NPI assigned
Mar 17, 2006
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 6800A WY
Urology Physician 208800000X E-12405 AR Primary

Addresses

Primary practice location

4000 Linwood Drive
Suite G
Paragould, AR 72450

Mailing address

1000 W Kingshighway Ste 14
Paragould, AR 72450-4197
Phone (870) 239-8591

Other identifiers 3

IdentifierTypeStateIssuer
237000003MedicaidAR
340020582OtherWYRAILROAD MEDICARE
1177371 00MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20220131001854 ME Practitioner - Urology 3072550904 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Nov 1, 2021 Accepting new patients
Houlton Regional Hospital CurrentSince Nov 1, 2021 Accepting new patients
Central Wyoming Urological Associates, PC Urology CurrentSince Jul 1, 1994 Accepting new patients
Houlton Regional Hospital Past Accepting new patients

Locations

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

1416 E A St
Ste 101
Casper, WY 82601
Phone (307) 577-8600

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10022903

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1235108432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 14",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-239-8591",
            "fax_number": "870-239-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DRIVE",
            "address_2": "SUITE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-8268",
            "fax_number": "870-239-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDAY",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WY",
            "license": "6800A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-12405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237000003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340020582",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177371 00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.