Monroe Surgical Hospital
Organization Active NPI Family Medicine Physician · Monroe, LA
NPI 1962697102 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1962697102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- Yes
- Parent organization (as reported)
- MONROE SURGICAL HOSPITAL
Authorized official
- Name
- Mrs. Robyn J. Hemphill
- Title
- Ceo/Cno
- Phone
- (318) 410-0002
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Practitioners 4
-
Ashley N Hale, APRN
-
Charles G Morgan Jr., M.D.
-
Sierra G Norwood, NP
-
Emiliana Yelverton, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Monroe Surgical Hospital
- Part of
- Monroe Surgical Hospital
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/monsurg-c220be5f
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1443735 | Medicaid | LA | |
| G3230 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names
- EKG Physicians
Other providers in Monroe, LA
- Monroe Medical Clinic Pharmacy
- Monroe Mental Health
- Monroe MRI PTRS
- Monroe Pharmacy LLC
- Monroe Sleep Solutions LLC
- Monroe Surgical Hospital, LLC
- Gloria Jean Monroe
- Melissa Tatum Monroe
- Leonard Montgomery
- Marybeth Montrichard
All providers in Monroe, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.