NPIMap

Organization Active NPI

Monarch Health and Recovery LLC

  • Family Medicine Physician
  • West Portsmouth, OH
National Provider Identifier
1548782816
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONARCH HEALTH AND RECOVERY LLC
Practice address
22664 State Route 73
West Portsmouth, OH 45663-6365
Phone
(740) 858-6656
Fax
(740) 858-5412
NPI assigned
Jul 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Deborah L Duncan, LPN, CDCA
Title
Ceo
Phone
(740) 858-6656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X

Addresses

Primary practice location

22664 State Route 73
West Portsmouth, OH 45663-6365

Mailing address

22664 State Route 73
West Portsmouth, OH 45663-6365
Phone (740) 858-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170922001028 OH Part B Supplier - Clinic/Group Practice 0749554277 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Lucasville, OH; West Portsmouth, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Monarch Health and Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

49 Township Road 365
South Point, OH 45680
Phone (740) 451-0221

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1548782816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22664 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636365",
            "telephone_number": "740-858-6656",
            "fax_number": "740-858-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22664 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636365",
            "telephone_number": "740-858-6656",
            "fax_number": "740-858-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH HEALTH AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-858-6656",
        "authorized_official_credential": "LPN, CDCA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.