Active NPI
Maribel E Monroe MD LTD
- Gynecology Physician
- Las Vegas, NV
National Provider Identifier
1801910120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- MARIBEL E MONROE MD LTD
- Practice address
- 2480 Professional CT Ste 110
Las Vegas, NV 89128-0835 - Phone
- (702) 868-9100
- Fax
- (708) 868-9101
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maribel E Monroe, MD
- Title
- President
- Phone
- (708) 868-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary | ||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X |
Addresses
Primary practice location
2480 Professional CT Ste 110
Las Vegas, NV 89128-0835
Mailing address
2480 Professional CT Ste 110
Las Vegas, NV 89128-0835
Phone (702) 868-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V103817 | Other | NV | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070525000312 | NV | Part B Supplier - Clinic/Group Practice | 6103815154 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
2480 Professional Ct
#110
Las Vegas, NV 89128
Phone (702) 868-9100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Henderson, NV
- NPI 1164996419
-
- Physician Assistant
- Las Vegas, NV
- NPI 1194693739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1801910120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 PROFESSIONAL CT STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280835",
"telephone_number": "702-868-9100",
"fax_number": "708-868-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 PROFESSIONAL CT STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280835",
"telephone_number": "702-868-9100",
"fax_number": "708-868-9101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIBEL E MONROE MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "MARIBEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-868-9100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "V103817",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.