MEDICARE: MR. JOHN B MONACO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	021661	CT
2	207VG0400X	Gynecology Physician	50833	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6030555	OTHER	TN	BCBST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548357205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN B MONACO M.D.

Provider Business Mailing Address
First Line	:	104 WOODMONT BLVD STE LL50
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2382
Country	:	US
Telephone Number	:	615-386-2361
Fax Number	:	615-386-2399

Provider Business Practice Location Address
First Line	:	4230 HARDING PIKE STE 400
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-4900
Country	:	US
Telephone Number	:	615-297-2700
Fax Number	:	615-301-5010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/21/2022

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Directions to “ MR. JOHN B MONACO M.D.” Practice Location

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