Active NPI
William J Monson, MD
- Anesthesiology Physician
- Salem, OR
National Provider Identifier
1235152653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD15208
- Practice address
- 3973 Croisan Mountain Dr S
Salem, OR 97302-3645 - Phone
- (503) 559-0501
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD15208 | OR | Primary |
Addresses
Primary practice location
3973 Croisan Mountain Dr S
Salem, OR 97302-3645
Mailing address
3973 Croisan Mountain Dr S
Salem, OR 97302-3645
Phone (503) 559-0501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148312 | Medicaid | OR | |
| 1030113 | Medicaid | WA | |
| 050053918 | Other | OR | RR MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1235152653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3973 CROISAN MOUNTAIN DR S",
"city": "SALEM",
"state": "OR",
"postal_code": "973023645",
"telephone_number": "503-559-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3973 CROISAN MOUNTAIN DR S",
"city": "SALEM",
"state": "OR",
"postal_code": "973023645",
"telephone_number": "503-559-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSON",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD15208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148312",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030113",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050053918",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.