Provider Demographics
NPI:1861446866
Name:HUNTER, MONICA G (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:G
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-933-4640
Mailing Address - Fax:
Practice Address - Street 1:833 SAINT VINCENTS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1606
Practice Address - Country:US
Practice Address - Phone:205-933-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071792207RC0000X
OH35.071792207RI0011X
AL35147207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY640804100Medicaid
ALPENDINGMedicaid
AL512-3540OtherBCBS
OH2357695Medicaid
IN200422700Medicaid
OHP00020249OtherRAILROAD MEDICARE
ALPENDINGMedicaid
ALPENDINGOtherBCBS
OH000000243456OtherANTHEM CINCINNATI
2912276OtherAETNA
IN200422700Medicaid
OH2357695Medicaid
ALPENDINGOtherUNITED HEALTHCARE
311438871050OtherCARESOURCE
ALPENDINGMedicaid
ALPENDINGMedicare UPIN
IN200422700Medicaid
404807872001OtherMEDICAL MUTUAL OF OHIO
KY640804100Medicaid