EARL G MOEHN (NPI# 1639279631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639279631 |
| Entity Type | Individual |
| Full Name | EARL G MOEHN |
| Credential | M.D. |
| Practice Address |
100 Belleview St Mount Clemens MI 48043-2241 |
| Practice Telephone | 5864634204 |
| Mailing Telephone | 5864634204 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301025603 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAIL ROAD MEDICARE | P00070675 | 01 |
| MI | 1720810 | 05 | |
| MI | MI LICENSE | 4301025603 | 01 |
| MI | BCBSM | 0205061421 | 01 |
| Street Address |
100 BELLEVIEW ST |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477562882 | Earl G Moehn M D P C | Surgery | 100 Belleview St, Mount Clemens, MI 48043-2241 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477562882 | Earl G Moehn M D P C | Surgery | 100 Belleview St, Mount Clemens, MI 48043-2241 | 2006-08-05 |
| 1295725620 | Stephen Douglas Cahill | Surgery | 1030 Harrington St, Suite 103, Mount Clemens, MI 48043-2967 | 2005-10-26 |
| 1932695137 | Gina Roessler | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-11 |
| 1417443334 | Amanda Van Ly | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1164918173 | Michael John Fish | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1770079782 | Afzal Hussain | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1841786753 | Jennifer Kiel | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1598205932 | Brittany Armstrong | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-05 |
| 1952841892 | Andrew Timothy Kowalski | Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-02-25 |
| 1831540327 | Amy Rodemoyer | Surgery | 1000 Harrington St, Mclaren Macomb Hospital, Mount Clemens, MI 48043-2920 | 2016-06-25 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on EARL G MOEHN.
| 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.