DR. KENNETH K MOGHADAM (NPI# 1033120282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033120282 |
| Entity Type | Individual |
| Full Name | DR. KENNETH K MOGHADAM |
| Credential | M.D. |
| Practice Address |
11725 N Illinois St Suite 515 Carmel IN 46032-3008 |
| Practice Telephone | 3178144110 |
| Practice Fax Number | 3178144114 |
| Mailing Telephone | 3178144110 |
| Mailing Fax Number | 3178144114 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
01051029A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000366889 | 01 |
| Street Address |
11725 N ILLINOIS ST SUITE 515 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439921 | William A Hilgendorf | Psychologist | 11725 N Illinois St, Ste 3501, Carmel, IN 46032-3008 | 2005-07-07 |
| 1962982660 | Kelly D Sharp | Dietitian, Registered | 11725 N Illinois St, Carmel, IN 46032-3008 | 2018-08-21 |
| 1063800027 | Cacioppo Plastic Surgery, LLC | Plastic Surgery | 11725 N Illinois St, Suite 245, Carmel, IN 46032-3008 | 2014-12-29 |
| 1902237217 | Deborah Vine | Dietitian, Registered | 11725 N Illinois St, Suite 355, Carmel, IN 46032-3008 | 2013-12-12 |
| 1376985895 | Lauren Ruth Rees | Speech-Language Pathologist | 11725 N Illinois St, Ste 445, Carmel, IN 46032-3008 | 2013-07-25 |
| 1346685674 | Wyatt Harding Horsley | Family Medicine | 11725 N Illinois St, Suite 325, Carmel, IN 46032-3008 | 2013-04-30 |
| 1831439850 | Janelle A Mckee | Nurse Practitioner | 11725 N Illinois St, Carmel, IN 46032-3008 | 2013-02-28 |
| 1033463971 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 11725 N Illinois St, Suite 215, Carmel, IN 46032-3008 | 2012-10-30 |
| 1841565942 | Eric W Han | Internal Medicine | 11725 N Illinois St, Ste 465, Carmel, IN 46032-3010 | 2012-03-21 |
| 1225301831 | Holly M Williams | Registered Nurse | 11725 N Illinois St, Suite 265, Carmel, IN 46032-3008 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205151628 | Erica Anspach Will | Obstetrics & Gynecology | 12188a N Meridian St Ste 250, Carmel, IN 46032-4426 | 2010-03-29 |
| 1083835730 | Matthew Will | Obstetrics & Gynecology | 12188a North Meridian, Suite 250, Carmel, IN 46032 | 2007-05-01 |
| 1316955321 | Midwest Fertility Specialists | Obstetrics & Gynecology | 12188a North Meridian Street, Suite 250, Carmel, IN 46032 | 2006-08-04 |
| 1205844131 | Bradford Lee Bopp | Obstetrics & Gynecology | 12188 A North Meridian Street, Suite 250, Carmel, IN 46032 | 2006-08-04 |
| 1932309416 | Christina Bishop | Obstetrics & Gynecology | 11725 N Illinois St, Suite 515, Carmel, IN 46032-3008 | 2007-07-23 |
| 1518167030 | Tamra Basch | Obstetrics & Gynecology | 11725 N Illinois St, Suite 515, Carmel, IN 46032-3008 | 2007-07-23 |
| 1700919503 | Jarrett Fertility Group | Obstetrics & Gynecology | 11725 N Illinois St, Carmel, IN 46032-3008 | 2007-03-13 |
| 1437160181 | Robert Maxwell Colver | Obstetrics & Gynecology | 12188a North Meridian Street, Suite 250, Carmel, IN 46032 | 2006-08-10 |
| 1124036132 | Laura Mary Reuter | Obstetrics & Gynecology | 12188a North Meridian Street, Ste 250, Carmel, IN 46032 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346340734 | James G Donahue | Obstetrics & Gynecology | 8051 S Emerson, #460, Indianapolis, IN 46237 | 2006-09-25 |
| 1215948971 | Midwest Fertility Specialists | Obstetrics & Gynecology | 2514 East Dupont Road, Suite 220, Fort Wayne, IN 46825 | 2006-08-10 |
| 1467827667 | Indiana Fertility Associates, PC | Obstetrics & Gynecology | 10610 N Pennsylvania St, Indianapolis, IN 46280-2004 | 2015-12-14 |
| 1366796252 | Boston Ivf Fertility Services At The Women's Hospital LLC | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 2600, Newburgh, IN 47630-8940 | 2012-10-31 |
| 1265736904 | Deaconess Women's Hospital of Southern Indiana | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 2900, Newburgh, IN 47630-8940 | 2011-01-10 |
| 1497989594 | Community Hospitals of Indiana Inc | Obstetrics & Gynecology | 7250 Clearvista Drive, Suite 365, Indianapolis, IN 46256-4644 | 2009-05-05 |
| 1265682413 | Reproductive Care of Indiana | Obstetrics & Gynecology | 201 Pennsylvania Pkwy, Suite 310, Indianapolis, IN 46280-2301 | 2008-09-24 |
| 1942491121 | Rebecca A. Chilvers | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 2900, Newburgh, IN 47630-8940 | 2007-08-05 |
| 1447455654 | Deaconess Women's Hospital of Southern Indian | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 2900, Newburgh, IN 47630 | 2007-06-18 |
| 1801921192 | David Stephen Mclaughlin | Obstetrics & Gynecology | 9660 E 146th Street, Suite 300, Noblesville, IN 46060 | 2007-02-23 |
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| 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.