Monarch Medical Management Group, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MONARCH MEDICAL MANAGEMENT GROUP, LLC

Practice address

4100 Duval Rd
BLDG 3, Suite 100
Austin, TX 78759-3550

Phone

(512) 550-8828

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Michael PetiprinNPI 1336799667

Title

Ceo

Phone

(512) 550-8828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Michael Petiprin

  • Contractor
  • Austin, TX
  • NPI 1336799667
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1730730979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201652",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787201652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG 3, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-550-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11701 Three Oaks Trl",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593818",
            "country_code": "US",
            "telephone_number": "512-550-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONARCH MEDICAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "PETIPRIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-550-8828"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Zipoli Monaco, RPH
• Michelle Monahan
• Sally R Monahan, DNP, APRN, CPNP-PC
• Monarch Diagnostics, LLC
• Monarch Medical LLC
• Monarch Medical Transport
• Monarch Therapy LLC
• Monarch Wellness Group, PLLC
• Jose Moncada Jr., DPT
• Cesar Enrique Moncayo, MASSAGE THERAPIST

• Contractor in Austin, TX
• Providers in Austin, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.