Organization Active NPI

Charles W. Monday, Jr., M.D., P.a.

  • Surgery Physician
  • Huntsville, TX
National Provider Identifier
1922302900
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D3345 Issued in TX
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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.NPI 1629068788
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
115078103MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.