Kathleen M Monderewicz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

612 6TH Ave
Huntington, WV 25701-2104

Phone

(304) 525-4202

Fax

(304) 525-4231

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tri-State Occupational Medicine, Inc.

  • Independent Medical Examiner Physician
  • Huntington, WV
  • NPI 1780800516
  NPD (past)
• Dean Health Systems, Inc,

  • Durable Medical Equipment & Medical Supplies
  • Beaver Dam, WI
  • NPI 1336425016
  NPD (past)
• Dean Health Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1508056227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BELLEFONTE DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012109",
            "telephone_number": "606-325-6967",
            "fax_number": "304-525-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-525-4202",
            "fax_number": "304-525-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDEREWICZ",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36297",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21708",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mujtaba Hammoda Mohamed, M.D.,
• Geoffrey Rowland Mohn, D.C.
• Dawn Molina, APRN FNP-BC
• Rafael Evencio Molina, MD
• Daniel P Moloney, M.D.
• Aynessa D. Mondlak, RN, MSN, C-FNP
• Dillon Montgomery-Roberts
• Grace Montgomery, MD
• Lauren Montgomery
• Gina Marie Montroso

• Family Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.