NPIMap

Organization Active NPI

Monroe Surgical Hospital

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1962697102
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONROE SURGICAL HOSPITAL
Practice address
2408 Broadmoor Blvd
Monroe, LA 71201-2963
Phone
(318) 410-0002
Fax
(318) 410-1960
NPI assigned
Sep 11, 2007
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MONROE SURGICAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Mrs. Robyn J. Hemphill
Title
Ceo/Cno
Phone
(318) 410-0002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
General Acute Care Hospital 282N00000X 475 LA

Addresses

Primary practice location

2408 Broadmoor Blvd
Monroe, LA 71201-2963

Mailing address

2408 Broadmoor Blvd
Monroe, LA 71201-2963
Phone (318) 410-0002

Other names 1

  • EKG Physicians Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000085 LA Part B Supplier - Clinic/Group Practice 5294725297 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mangham, LA; Monroe, LA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Monroe Surgical Hospita3 organizations share this tax ID, including this one
Part of
Monroe Surgical Hospita

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/monsurg-c220be5f

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1962697102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012963",
            "telephone_number": "318-410-0002",
            "fax_number": "318-410-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012963",
            "telephone_number": "318-410-0002",
            "fax_number": "318-410-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE SURGICAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROE SURGICAL HOSPITAL",
        "enumeration_date": "2007-09-11",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/CNO",
        "authorized_official_telephone_number": "318-410-0002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EKG Physicians",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EKG Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.