MEDICARE: DR. JAMES R. MONATH 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	208800000X	Urology Physician	39448	NC
2	208800000X	Urology Physician	MD453477	PA
3	208800000X	Urology Physician	35-72117	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	495148	OTHER	PA	MEDICARE PTAN

General Provider Information

NPI Number	:	1558352161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES R. MONATH M.D.

Provider Business Mailing Address
First Line	:	1320 BROADCASTING RD STE 200
Second Line	:
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3222
Country	:	US
Telephone Number	:	610-372-8995
Fax Number	:	610-372-7922

Provider Business Practice Location Address
First Line	:	1320 BROADCASTING RD
Second Line	:	SUITE 200
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3222
Country	:	US
Telephone Number	:	610-372-8995
Fax Number	:	610-372-7922

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/03/2026

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