Active NPI
Justin Gary Lamonda, MD
- Internal Medicine Physician
- Moberly, MO
National Provider Identifier
1669601357
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2012006598
- Practice address
- 1145 S Morley St
Moberly, MO 65270-1948 - Phone
- (660) 263-7062
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2012006598 | MO | Primary |
Addresses
Primary practice location
1145 S Morley St
Moberly, MO 65270-1948
Mailing address
1145 S Morley St
Moberly, MO 65270-1948
Phone (660) 263-7062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012006598 | Other | MO | MO LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012006598 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1669601357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S MORLEY ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652701948",
"telephone_number": "660-263-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S MORLEY ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652701948",
"telephone_number": "660-263-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMONDA",
"first_name": "JUSTIN",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2012006598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LICENSE",
"identifier": "2012006598",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.