MONJA L PROCTOR MD
NPI 1023192747
Surgery - Pediatric Surgery in Lubbock, TX

Q: What is Monja Proctor's NPI number?

The NPI number for Monja Proctor is 1023192747. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Monja Proctor's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Monja Proctor was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2006PECOS Enrolled

4102 22ND PL, LUBBOCK, TX 79410(806) 725-0237(806) 725-1030 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Monja L Proctor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONJA L PROCTOR MD (NPI 1023192747) is an individual pediatric surgery provider in Lubbock, Texas, licensed in Texas (J7836) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1023192747

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameMONJA L PROCTORCredential: MD

Location Address4102 22ND PLLubbock, TX 79410-1122

Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5844 · Fax (806) 723-6532

Phone(806) 725-0237

Fax(806) 725-1030

Sole ProprietorNo

Enumeration DateOctober 25, 2006

Last NPPES UpdateAugust 3, 2020

NPPES CertifiedAugust 3, 2020

✔ NPI 1023192747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in TX · J7836✔ Licensed in ND · PT13389✔ Licensed in WA · MD00041914

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

4102 22ND PL, Lubbock, TX 79410

Open in Google Maps ↗

Secondary Practice Location 1

Location 11101 Madison St Ste 800Seattle, WA 98104-1307 · Phone (206) 215-2700 · Fax (206) 215-2702

Other Identifiers 2

Other1E9888TX · Medicare

Medicaid8369837WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monja L Proctor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEYENNE BAILEY DUNCAN APRN

Nurse Practitioner (Pediatrics)