Lourdes Dela Rosa Monsod, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME39603 Issued in FL

Practice address

480 W Lowder St
Macclenny, FL 32063-2664

Phone

(904) 259-6291

Fax

(904) 259-4761

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Yulee, FL
  • NPI 1558339028
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1972579043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 MERCHANTS ROW BLVD",
            "address_2": "BIN A05",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113645",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W LOWDER ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632664",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSOD",
        "first_name": "LOURDES",
        "middle_name": "DELA ROSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME39603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303685B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "600002526",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067090100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED HEALTH PLANS",
            "identifier": "237941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayleigh Danielle Midyette
• Millennium Physician Group LLC
• John B Milton, MD
• Alyssa M Mitchell, MS
• Magan Mona, NP-C
• Curtis Lee Moore III, DMD
• Thomas Richard Murray, M.D.
• Nancy E. Davie, Inc.
• Ameena Zenaida Nathan, ARNP
• Macy Brooke Neal, DNP, FNP-BC

• Family Medicine Physician in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.