Maryellen O. Monahan, M. D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME63712 Issued in FL

Practice address

300 SE Hospital Ave
Stuart, FL 34994-2338

Phone

(772) 220-1391

Fax

(772) 220-4087

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Care Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Stuart, FL
  • NPI 1366469975
  NPD (past)
• Coastal Care Corporation

  • Radiology Clinic/Center
  • Port St Lucie, FL
  • NPI 1801129747
  NPD (past)
• Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1881616985
  NPD (past)
• Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
  • NPI 1386667533
  NPD (past)
• Radiological Consultants, Inc.

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1538127428
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1346210333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-220-1391",
            "fax_number": "772-220-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942338",
            "telephone_number": "772-220-1391",
            "fax_number": "772-220-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "MARYELLEN",
        "middle_name": "O.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME63712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256833100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harriet Uzoamaka Mokwe
• Niurys Molina Cruz
• Hailey Marie Molina, DMD
• Khaing Khaing Mon
• Mona'S Transportation of South Florida, Inc.
• William Robert Monahan, DO
• Crista Monastra
• Lourdes Mondesir
• Kelyn Paola Monroy Palma
• Triana Serenity Montague

• Diagnostic Radiology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.