Ethan Daniel Monhollon

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD-49479 Issued in IA

Practice address

701 10TH St SE
Cedar Rapids, IA 52403-1251

Phone

(319) 398-6011

NPI assigned

Apr 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson County Emergency Medicine PLCGroup PAC ID 6901231810, 29 clinicians

Linn County Emergency Medicine PCGroup PAC ID 9830089275, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson County Emergency Medicine, PLC

  • Emergency Medicine Physician
  • Iowa City, IA
  • NPI 1316582729
  Medicare reassignment Care Compare group NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1679521124
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901

  Emergency Medicine

  Medicare reassignment NPD
• Carr PLLC

  • Emergency Medicine Physician
  • Brentwood, TN
  • NPI 1548677610
  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097
  Medicare reassignment NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Hiawatha, IA
  • NPI 1275151003
  NPD
• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• State University of Iowa

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1699541870
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1962965681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S LINN ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401802",
            "telephone_number": "319-338-9222",
            "fax_number": "319-338-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 E Rusholme St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528032459",
            "country_code": "US",
            "telephone_number": "563-421-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Union Ave Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "901-516-8269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONHOLLON",
        "first_name": "ETHAN",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "63675",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-49479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryne David Mohrfeld, ATC, LAT
• Wanda Marie Mokry-Sellers, PH D CADC
• Molloy Therapies LTD
• Molloy Therapy LLC
• Hannah Rose Monahan, MD
• Tyler Patrick Montanez
• Presley Montgomery, LMSW
• Jesse Monthei
• Justin Moody, LMHC-T
• Sydney E Moody, LMSW

• Emergency Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.