H CARL MOULTRIE II (NPI# 1003815598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003815598 |
| Entity Type | Individual |
| Full Name | H CARL MOULTRIE II |
| Credential | MD |
| Practice Address |
255 E 90th Dr Suite W1 Merrillville IN 46410 |
| Mailing Address |
Po Box 10727 Merrillville IN 46411-0727 |
| Practice Telephone | 2197939029 |
| Practice Fax Number | 2197939101 |
| Mailing Telephone | 2197939029 |
| Mailing Fax Number | 2197939101 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 01026965A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4513204 | 01 | |
| IN | ANTHEM | 000000186722 | 01 |
| Street Address |
255 E 90TH DR SUITE W1 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417582552 | Excellent Neurology Service | Psychiatry & Neurology | 255 E 90th Dr, Merrillville, IN 46410-8144 | 2020-03-09 |
| 1770751851 | Merrillville Plaza Anesthesia Corporation | Clinic/Center | 255 E 90th Dr, Suite W-2, Merrillville, IN 46410-8144 | 2008-02-12 |
| 1659560100 | Anekal B Sreeram | Specialist | 255 E 90th Dr, Merrillville, IN 46410-8144 | 2007-10-22 |
| 1972672830 | Dr. Anekal B. Sreeram | Otolaryngology | 255 E 90th Dr, Merrillville, IN 46410-8103 | 2006-11-07 |
| 1093723793 | Larry R Brazley | Internal Medicine | 255 E 90th Dr, W1, Merrillville, IN 46410-8144 | 2006-08-04 |
| 1821006545 | Larry R Brazley Md, Ltd | Internal Medicine | 255 E 90th Dr, Merrillville, IN 46410-8144 | 2006-08-04 |
| 1447206040 | Orthopedic Foot & Ankle Institute | Podiatrist | 255 E 90th Dr, #w-3, Merrillville, IN 46410-8103 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291848 | Richard O Oni | Orthopaedic Surgery | 5525 Broadway, Merrillville, IN 46410-2782 | 2006-09-01 |
| 1912924937 | Northwest Bone and Joint, PC | Orthopaedic Surgery | 55 E 86th Ave, Merrillville, IN 46410-6382 | 2006-07-16 |
| 1467451682 | Alexander C. Miller | Orthopaedic Surgery | 8900 Broadway, Ste A, Merrillville, IN 46410-7040 | 2005-07-19 |
| 1831198324 | John M Diveris | Orthopaedic Surgery | 333 W 89th Ave, Suite W5, Merrillville, IN 46410-7073 | 2005-07-18 |
| 1518295948 | The Methodist Hospitals, Inc. | Orthopaedic Surgery | 200 E 89th Ave, Suite 3c, Merrillville, IN 46410-7318 | 2009-11-23 |
| 1336376367 | Michael Knesek | Orthopaedic Surgery | 9001 Broadway, Merrillville, IN 46410-7041 | 2009-06-17 |
| 1700921996 | Elian Michael Shepherd | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2007-02-21 |
| 1477698991 | Richard O. Oni, Md, Inc | Orthopaedic Surgery | 5525 Broadway, Merrillville, IN 46410-2782 | 2007-02-21 |
| 1326198904 | Northwest Orthopedic Consultants, Inc. | Orthopaedic Surgery | 99 E 86th Ave, Suite C, Merrillville, IN 46410-6381 | 2007-01-12 |
| 1386757672 | Indy Orthopedics | Orthopaedic Surgery | 521 E 86th Ave, Suite P, Merrillville, IN 46410-6173 | 2006-08-17 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on H CARL MOULTRIE II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.