Monarch Dermatology & Surgery LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MONARCH DERMATOLOGY & SURGERY LLC

Practice address

1405 S 8TH Ave Ste 102
Sterling, CO 80751-4560

Phone

(970) 800-9330

Fax

(720) 927-4301

NPI assigned

Oct 30, 2020

Last updated

Mar 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ammon Larsen, MD

Title

Owner/Authorized Rep

Phone

(970) 667-3116

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Monarch Dermatology & Surgery LLC

  • Dermatology Physician
  • Loveland, CO
  • NPI 1629609490

  O20200318001830

  Same enrollment
• Monarch Dermatology & Surgery, LLC

  • Dermatology Physician
  • Loveland, CO
  • NPI 1063097137

  O20200318001830

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia M Wortham, PA-C

  • Physician Assistant
  • Loveland, CO
  • NPI 1205440278
  NPD
• Matthew James Franklin, MD

  • Dermatology Physician
  • Gahanna, OH
  • NPI 1023540556
  NPD
• Elizabeth Havey Miller, M.D.

  • Dermatology Physician
  • Austin, TX
  • NPI 1326251240
  NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1568062206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805390731",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE STE 102",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514560",
            "telephone_number": "970-800-9330",
            "fax_number": "720-927-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH DERMATOLOGY & SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "AMMON",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED REP",
        "authorized_official_telephone_number": "970-667-3116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@monarchdermco.com",
            "affiliation": "N",
            "address_1": "1405 S 8th Ave Ste 102",
            "city": "Sterling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807514560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allie Miller, LCSW
• James A Miller, MD
• Monica Miller
• Theresa Miller, CAC II
• Candice M Monahan, MSW, LCSW
• Sarita Montez
• Elizabeth Montgomery
• Nicholas C. Moore, DPT, OCS, FAAOMPT
• Sarah Moore, MD
• Laine Marie Morgan, PMHNP,RXN

• Dermatology Physician in Sterling, CO
• Providers in Sterling, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.