Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023192747 Individual Practitioner Female Practitioner

Dr. Monja L Proctor , MD

Surgery - Pediatric Surgery • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Monja Proctor, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Lubbock, TX. Practice services are available at 4102 22ND PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4102 22nd Pl

Lubbock, TX 794101122

Telephone 8067250237
Fax 8067251030
Associated Practice Facility / Clinic
🏢 Covenant Medical Group Facility NPI 1376598904

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Lubbock, TX (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-03
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License TX J7836

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

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License WA MD00041914

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

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License ND PT13389

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8369837 (WA)
Commercial Insurance / Payer ID Medicare
1E9888 (TX)

Secondary Practice Locations

1101 Madison St Ste 800

Seattle, WA 981041307

Phone: 2062152700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Sherry Landsman , FNP-C

Nurse Practitioner - Family

NPI 1144508870

Family Nurse Practitioner (Certified)

Kira Cousatte , NNP-BC

Nurse Practitioner - Neonatal

NPI 1144733262

NNPBC

Dr. Monica Relvas , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1154425593

Doctor of Medicine (M.D.)

Dr. Ahmad Zaghal , MD

Surgery - Pediatric Surgery

NPI 1174956817

Doctor of Medicine (M.D.)

Sherri Caudill , FNP

Nurse Practitioner - Family

NPI 1194453829

Family Nurse Practitioner

Sierra Henry

Nurse Practitioner - Pediatrics

NPI 1316891690

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 03, 2020

Registered at 4102 22ND PL, LUBBOCK, TX 794101122 (Tel: 8067250237)

📍
Updated Business Mailing Address August 03, 2020

Registered at 2215 NASHVILLE AVE, LUBBOCK, TX 794101105 (Tel: 8067255844)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2020

Surgery (License #MD00041914 in WA)

NPI Profile Active November 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2014

Registered at 1101 MADISON ST STE 800, SEATTLE, WA 981041307 (Tel: 2062152700)

📍
Updated Business Mailing Address November 03, 2014

Registered at PO BOX 84026, SEATTLE, WA 981248426 (Tel: 2062152700)

👤
Provider Name / Credentials Updated November 03, 2014

Recorded as MONJA PROCTOR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2014

Surgery (License #PT13389 in ND)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023192747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: August 03, 2020
Sole Proprietor: No

Mailing Address

2215 Nashville Ave

Lubbock, TX 794101105

Phone: 8067255844

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.