Monica J. Wall, M.D., LTD.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

8291 Issued in NV

Legal business name

MONICA J. WALL, M.D., LTD.

Practice address

3031 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-3809

Phone

(702) 614-4476

Fax

(702) 914-7644

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Monica Jayne WallNPI 1942307855

Title

President

Phone

(702) 614-4476

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Telemed and Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Monica Jayne Wall, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1942307855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1457542961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530245",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530245",
            "telephone_number": "702-614-4476",
            "fax_number": "702-914-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523809",
            "telephone_number": "702-614-4476",
            "fax_number": "702-914-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA J. WALL, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-614-4476"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "8291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002422",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telemed and Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Roosevelt Mompremier
• Richard Lopez Mon, M.D.
• Krista Marie Monaghan, DPT
• Steven Money
• Nalani Mongkholtham-Jones, FNP
• Gary S Mono, DO
• Eduardo Paguntalan Monroy, MSN, FNP
• Amy Monrreal, PA-C
• Rosalie Monsalvo
• Keith Monsay, APRN-CNP

• Primary Care Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.