Organization Active NPI

Monarch Ideal Care LLC

  • Primary Care Clinic/Center
  • Fairlawn, OH
National Provider Identifier
1952872319
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MONARCH IDEAL CARE LLC
Practice address
2855 W Market St Ste 204
Fairlawn, OH 44333-4034
Phone
(234) 281-4384
Fax
(234) 203-5011
NPI assigned
Dec 11, 2018
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Leslee McElrath, MDNPI 1952747396
Title
Physician/Owner
Phone
(234) 281-4384

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2855 W Market St Ste 204
Fairlawn, OH 44333-4034

Mailing address

2855 W Market St Ste 204
Fairlawn, OH 44333-4034
Phone (234) 281-4384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205002569 OH Part B Supplier - Clinic/Group Practice 2163760810 Practice locations: Fairlawn, OH

National Provider Directory

National Provider Directory

Locations

1236 Weathervane Ln
Ste 260
Akron, OH 44313
Phone (234) 281-4384

2855 W Market St
Ste 204
Fairlawn, OH 44333
Phone (234) 281-4384

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": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1952872319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W MARKET ST STE 204",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334034",
            "telephone_number": "234-281-4384",
            "fax_number": "234-203-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W MARKET ST STE 204",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334034",
            "telephone_number": "234-281-4384",
            "fax_number": "234-203-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH IDEAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "MCELRATH",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "234-281-4384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.

Verify at the official NPI Registry.