Active NPI
Charles W. Monday, Jr., M.D., P.a.
- Surgery Physician
- Huntsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D3345
- Legal business name
- CHARLES W. MONDAY, JR., M.D., P.A.
- Practice address
- 130 Medical Center Pkwy Ste 6
Huntsville, TX 77340-4943 - Phone
- (936) 295-9101
- Fax
- (936) 295-5977
- NPI assigned
- Jan 5, 2011
- Last updated
- Jan 5, 2011
- 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
- Dr. Charles Woodrow Monday Jr., M.D.
- Title
- Medical Doctor
- Phone
- (936) 295-9101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D3345 | TX | Primary |
Addresses
Primary practice location
130 Medical Center Pkwy Ste 6
Huntsville, TX 77340-4943
Mailing address
PO Box 1920
Huntsville, TX 77342-1920
Phone (936) 295-9101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115078103 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
130 Medical Center Pkwy
Ste 6
Huntsville, TX 77340
Phone (936) 295-9101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Huntsville, TX
- NPI 1629068788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1922302900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1920",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773421920",
"telephone_number": "936-295-9101",
"fax_number": "936-295-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MEDICAL CENTER PKWY STE 6",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404943",
"telephone_number": "936-295-9101",
"fax_number": "936-295-5977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES W. MONDAY, JR., M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "MONDAY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "WOODROW",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "936-295-9101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "D3345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115078103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.