DR. JOHN JOSEPH MOFFITT (NPI# 1528095171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528095171 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH MOFFITT |
| Credential | M.D. |
| Practice Address |
927 Russell Dr Lebanon PA 17042-7487 |
| Practice Telephone | 7172749775 |
| Practice Fax Number | 7172749894 |
| Mailing Telephone | 7172749775 |
| Mailing Fax Number | 7172749894 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD042944L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1236724 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356514053 | John C Moffitt | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Ft Benning, GA 31905-6100 | 2008-04-02 |
| 1649320581 | John P Moffitt | Psychologist | 415 Gibson Ln, Richmond, KY 40475-2577 | 2007-01-11 |
| 1821193475 | John M. Moffitt | Dentist | 210 Valley Mall Pkwy, East Wenatchee, WA 98802-7728 | 2006-09-14 |
| 1326061557 | John Scott Moffitt | Dentist | 15515 3rd Ave Sw, Suite A, Burien, WA 98166-2553 | 2006-07-26 |
| Street Address |
927 RUSSELL DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135071 | Suzanne Elizabeth Shiley | Nurse Practitioner | 927 Russell Dr, Lebanon, PA 17042-7487 | 2017-10-18 |
| 1285795146 | Donald Lewis Short | Audiologist | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-12-13 |
| 1235290180 | Sharon Kaye Hughes | Audiologist | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-12-13 |
| 1164448767 | Howard B Melnick Md PC | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-07-15 |
| 1669400594 | Glen Joseph Mesaros | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-06-29 |
| 1073541371 | Howard Berman Melnick | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640336 | Bancroft Oquinn Jr. | Otolaryngology | 1405 Baddour Parkway, Suite 106, Lebanon, TN 37087 | 2006-07-14 |
| 1407824535 | James E Saunders | Otolaryngology | One Medical Center Dr., Dhmc Division of Otolarynoglogy, Lebanon, NH 03756-0001 | 2006-03-14 |
| 1144226317 | Charles Layton Elliott | Otolaryngology | 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 | 2005-06-22 |
| 1679990808 | Ryan E Little | Otolaryngology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2014-03-26 |
| 1508150624 | Robert Manuel Boucher | Otolaryngology | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2011-06-06 |
| 1326365024 | Emily Joan-ying Lo | Otolaryngology | 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 | 2010-04-21 |
| 1023284148 | Gary Leland Freed Jr. | Otolaryngology | 1 Medical Center Dr, Dhmc Plastic Surgery, Lebanon, NH 03756-1000 | 2008-05-08 |
| 1003081597 | Sarah S Seo | Otolaryngology | 1 Medical Center Dr, Otolaryngology, Lebanon, NH 03756-1000 | 2008-04-25 |
| 1124217070 | Giridhar Venkatraman | Otolaryngology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-10-16 |
| 1700975620 | Joseph A Paydarfar | Otolaryngology | 1 Medical Center Dr, Division of Otolaryngology, Lebanon, NH 03756-1000 | 2006-10-11 |
| Find all providers in LEBANON | ||||
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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.