MONROE RADIOLOGY PC (NPI# 1992899660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992899660 |
| Entity Type | Organization |
| Organization Name | MONROE RADIOLOGY PC |
| Practice Address |
718 N Macomb St Monroe MI 48162-7815 |
| Mailing Address |
718 N. Macomb Monroe MI 48161 |
| Practice Telephone | 7342408400 |
| Mailing Telephone | 7342408400 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NORMA FLORES (PRESIDENT) |
| Authorized Official Telephone | 7342408400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PRIORITY HEALTH | 04437 | 01 |
| MI | MIDWEST HEALTHPLAN | 023585 | 01 |
| MI | RAILROAD MEDICARE | CI5353 | 01 |
| MI | US DEPT OF LABOR WC | 13596600 | 01 |
| MI | COMMUNITY CHOICE OF MI | 29694 | 01 |
| MI | CARE CHOICES | 116830 | 01 |
| MI | UNITED MINE WORKERS | 1528103 | 01 |
| MI | M-CARE | RA820059 | 01 |
| MI | FAMILY HEALTH PLAN | 707535 | 01 |
| MI | PARAMOUNT HEALTHCARE | 04849 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0E81027 | 01 |
| Street Address |
718 N MACOMB ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781300 | Mark D Sherrard | Family Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2005-06-28 |
| 1841801222 | Vijaya Lakshmi Lakshmi Thotakura | Physician Assistant | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-08-11 |
| 1952928467 | Edwin David | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-30 |
| 1255957494 | Nicole Philippon | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-23 |
| 1407471451 | Joseph Hoeksema | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-15 |
| 1366067779 | Megan Wolbers | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1598380909 | Himat Singh Gill | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1659996221 | Nathaniel Lucey | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1497370068 | Krysten Hinton | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1598380123 | Paul Van Truong | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194068460 | David Soroush Gorovoy | Radiology | 178 Pine Tree Rd, Monroe, NY 10950-3964 | 2013-04-04 |
| 1659529469 | Michael Barnidge Jr. | Radiology | 1888 Hudson Cir Ste 2, Monroe, LA 71201 | 2008-09-04 |
| 1407003510 | Presbyterian Imaging Centers LLC | Radiology | 2000 Wellness Boulevard, Ste 110, Monroe, NC 28110-7764 | 2008-08-20 |
| 1538376116 | Alan Herschman | Radiology | 4 Winnie Palmer Ct, Monroe, NJ 08831-8833 | 2007-05-16 |
| 1437242070 | Craig Shepherd Smith | Radiology | 718 N. Macomb, Monroe, MI 48161 | 2006-10-02 |
| 1043227887 | Lovick Pierce Thomas Vi | Radiology | 1601 Lamy Lane, Monroe, LA 71201 | 2006-08-02 |
| 1891721429 | Anne Dopson Halsell | Radiology | 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | 2006-06-24 |
| 1528094455 | Brenton Wayne Mcdonald | Radiology | 2807 Evangeline St, Monroe, LA 71201-3749 | 2006-06-23 |
| 1649216151 | Lin Xiong | Radiology | 1601 Lamy Ln, Monroe, LA 71201-3735 | 2006-06-22 |
| 1962450155 | Mecklenburg Diagnostic Imaging LLC | Radiology | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2006-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.