Phillip L Monroe, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2A46 Issued in MO

Practice address

2750 S Campbell Ave
Springfield, MO 65807-3506

Phone

(417) 269-2281

Fax

(417) 883-5466

NPI assigned

Sep 28, 2006

Reactivated

Aug 5, 2015

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: phillip.monroe@cernerdirect.coxhealth.com

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.

• Regional Services

  • Clinic/Center
  • Springfield, MO
  • NPI 1720141096
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1356433601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-2281",
            "fax_number": "417-883-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073506",
            "telephone_number": "417-269-2281",
            "fax_number": "417-883-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "PHILLIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-08-05",
        "deactivation_date": "2015-07-09",
        "reactivation_date": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2A46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201157617",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Lizeth Moncada Maldonado, LCSW
• Steven A. Moncher, LPC
• Chandler Rebecca Lee Mongerson, PA
• Rachel J Monhollon, PLPC
• Dennis Robert Monnig, DDS
• Robert C. Montana III, M.D.
• Brittany Nicole Montavon, MD
• Hugo David Montejo, PA-C
• Adam Joshua Montgomery, D.D.S.
• Gerrit Wayne Montgomery, OTR/L

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.