DAVID L MOULTON (NPI# 1558332353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558332353 |
| Entity Type | Individual |
| Full Name | DAVID L MOULTON |
| Credential | M.D. |
| Practice Address |
501 S Chipeta Way Salt Lake City UT 84108-1222 |
| Practice Telephone | 8015832500 |
| Mailing Telephone | 8015832500 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
8303246-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881860492 | David E Moulton | Pharmacist | 12975 Park Blvd, Seminole, FL 33776-3638 | 2008-05-03 |
| 1407851603 | David F Moulton | Internal Medicine | 301 Med Tech Pkwy, Ste 240, Johnson City, TN 37604 | 2005-06-15 |
| Street Address |
501 S CHIPETA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798853 | Jade Burrell | Music Therapist | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-09 |
| 1104455724 | Matthew Torbenson | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-06 |
| 1699304147 | William Alexander Bennion | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-06 |
| 1104455872 | Taylor Crosby Blanding | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-05 |
| 1730718875 | Harjit Kaur | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-01 |
| 1235767369 | Zachary H Schwartz | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-01 |
| 1336777937 | Giselle Mcintyre | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-30 |
| 1578191144 | Margaux Barbara Miller | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-30 |
| 1679101539 | Caitlin Marie Clark | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-27 |
| 1841827912 | Zane Jordan | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548244676 | Poonam Soni | Psychiatry & Neurology | 3970 S 700 E Ste 12, Salt Lake City, UT 84107-2584 | 2005-12-01 |
| 1841310950 | Benjamin Todd Thatcher | Psychiatry & Neurology | 1020 S Main St, #300, Salt Lake City, UT 84101-3176 | 2007-03-30 |
| 1639269269 | David A. Tomb | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558430470 | Phil Washburn | Psychiatry & Neurology | 251 W Hwy 198, Salem, UT 84653-0786 | 2006-11-07 |
| 1750989349 | Wellcon, Inc. | Psychiatry & Neurology | 3415 S 900 W, South Salt Lake, UT 84119-4103 | 2020-10-15 |
| 1780731679 | Aaron James Hunt | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2007-01-04 |
| 1174546337 | Trent C. Holmberg | Psychiatry & Neurology | 12176 S 1000 E, Suite B, Draper, UT 84020-9734 | 2006-07-26 |
| 1568483030 | Joseph D Dye | Psychiatry & Neurology | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
| 1013995471 | Edward Leslie Kelly | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2006-01-05 |
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on DAVID L MOULTON.
| 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.