Active NPI
George David Munday, M.D.
- Urology Physician
- Paragould, AR
National Provider Identifier
1235108432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E-12405
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237000003 | Medicaid | AR | |
| 340020582 | Other | WY | RAILROAD MEDICARE |
| 1177371 00 | Medicaid | WY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Central Wyoming Urological Associates, PC | Urology | Current | 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
- 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.
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
- Urology Physician
- Casper, WY
- NPI 1720009749
-
- Medicare Defined Swing Bed Hospital Unit
- Houlton, ME
- NPI 1013355254
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.