Mona Devanesan, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME36051 Issued in FL

Practice address

2151 45TH St Ste 110
West Palm Beach, FL 33407-2009

Phone

(561) 863-4777

Fax

(561) 863-0590

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hendry County Hospital Authority

  dba Hendry Regional Medical Center

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  NPD (past)
• Hendry County Hospital Authority

  dba Hendry Regional Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Clewiston, FL
  • NPI 1336937408
  NPD (past)
• Hendry County Hospital Authority

  dba Hendry Regional Cardiology

  • Medical Specialty Clinic/Center
  • Clewiston, FL
  • NPI 1699915413
  NPD (past)
• Hendry County Hospital Authority

  dba Hendry Regional ENT

  • Medical Specialty Clinic/Center
  • Clewiston, FL
  • NPI 1881900850
  NPD (past)
• Hendry County Hospital Authority

  dba Hendry Regional Interventional Pain Therapy

  • Pain Clinic/Center
  • Clewiston, FL
  • NPI 1942576665
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891719373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072009",
            "telephone_number": "561-863-4777",
            "fax_number": "561-863-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072009",
            "telephone_number": "561-863-4777",
            "fax_number": "561-863-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANESAN",
        "first_name": "MONA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME36051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Andree Destine, RN
• Kemisha Desvallons
• Detox Solutions of the Palm Beaches
• Christian Deuloffeu
• Judith Devallon
• Stephanie Diane Devaney, ARNP
• Christian Lloyd Devault, PHARM.D.
• Rokeesha Deveaux
• Alison Lynn Dever, BCBA, M.S
• Tasha Devericks-Recalde

• Gynecology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.