Individual provider Active NPI

Gary S Mono, DO

  • Surgery Physician
  • Henderson, NV
National Provider Identifier
1386695567
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D.O. 564 Issued in NV
Practice address
10001 S Eastern Ave
Suite 206
Henderson, NV 89052-3907
Phone
(702) 617-1981
Fax
(702) 616-1105
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D.O. 564 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave
Suite 206
Henderson, NV 89052-3907

Mailing address

10001 S Eastern Ave
Suite 206
Henderson, NV 89052-3907
Phone (702) 617-1981

Other identifiers 2

IdentifierTypeStateIssuer
002019181MedicaidNV
NV6171OtherNVBCBS

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
D.O. 564NVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgical Consultants LLC Surgery PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1386695567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE",
            "address_2": "SUITE 206",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523907",
            "telephone_number": "702-617-1981",
            "fax_number": "702-616-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE",
            "address_2": "SUITE 206",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523907",
            "telephone_number": "702-617-1981",
            "fax_number": "702-616-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONO",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "D.O. 564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019181",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NV6171",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.