Monticello Medical Clinic PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MONTICELLO MEDICAL CLINIC PLC

Practice address

906 Roberts Dr
Monticello, AR 71655-5724

Phone

(870) 367-6867

Fax

(870) 367-1461

NPI assigned

Jan 17, 2006

Organization subpart

No

Name

Sylvia Simon, MD

Title

Partner

Phone

(870) 367-6867

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Monticello Medical Clinic, PLC

  • Family Medicine Physician
  • Star City, AR
  • NPI 1982193975
  NPPES parent name

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jim Carmical, MD

  • Family Medicine Physician
  • Monticello, AR
  • NPI 1194145607

  Family Medicine

  NPD
• Katelyn Halie Carmical, M.D.

  • Family Medicine Physician
  • Monticello, AR
  • NPI 1336534411

  Family Medicine

  NPD
• Linzy Gavin, APRN

  • Gerontology Nurse Practitioner
  • Malvern, AR
  • NPI 1881285336

  Single Specialty

  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1366422305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO MEDICAL CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-367-6867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "77067202",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139812002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monticello Drug Company LLC
• Monticello Drug Company LLC
• Monticello Drug Inc
• Monticello Ess LLC
• Monticello Healthcare Center, LLC
• Monticello Progressive Eldercare Services Inc
• Monticello School District
• Monticello Surgical Associates,PA
• Carol Ann Moore, LCSW
• Morgan Family Dentistry, PLLC

• All providers in Monticello, AR
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.