NPIMap

Organization Active NPI

Monroe a Sprague MD Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Chico, CA
National Provider Identifier
1669713285
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
G39757 Issued in CA
Legal business name
MONROE A SPRAGUE MD INC
Practice address
135 Mission Ranch Blvd
Chico, CA 95926-2175
Phone
(530) 342-2411
Fax
(530) 894-5783
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Monroe A Sprague, MD
Title
Physician
Phone
(530) 342-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X G39757 CA Primary

Addresses

Primary practice location

135 Mission Ranch Blvd
Chico, CA 95926-2175

Mailing address

135 Mission Ranch Blvd
Chico, CA 95926-2175
Phone (530) 342-2411

Other identifiers 1

IdentifierTypeStateIssuer
17460499693MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1669713285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-342-2411",
            "fax_number": "530-894-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-342-2411",
            "fax_number": "530-894-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE A SPRAGUE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "MONROE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "530-342-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G39757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17460499693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.