Provider Demographics
NPI:1952337271
Name:DOERR, MONICA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ELIZABETH
Last Name:DOERR
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 1:624 QUAKER LN
Mailing Address - Street 2:STE. 207C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:
Practice Address - Street 1:801 N LINDSAY ST STE 101
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3942
Practice Address - Country:US
Practice Address - Phone:336-472-3636
Practice Address - Fax:336-885-9820
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-00234207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910779Medicaid
NC460001919OtherRAILROAD MEDICARE
NCF10786Medicare UPIN
NC2197553EMedicare PIN
NC460001919OtherRAILROAD MEDICARE
NC1212660017Medicare NSC
NC8910779Medicaid
NCNCP747AMedicare PIN