MICHAEL J MOULTON (NPI# 1710999024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710999024 |
| Entity Type | Individual |
| Full Name | MICHAEL J MOULTON |
| Credential | MD |
| Practice Address |
988102 Nebraska Medical Center Omaha NE 68198-8102 |
| Practice Telephone | 4025599800 |
| Practice Fax Number | 4025597929 |
| Mailing Telephone | 4025599800 |
| Mailing Fax Number | 4025597929 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 34904 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 124508 | 05 | |
| AZ | RAILROAD MEDICARE | P00439640 | 01 |
| NE | 10026059800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174614911 | Michael Webb Moulton | Pharmacist | 300 Faulkner Dr, Bay Minette, AL 36507-2771 | 2006-09-27 |
| 1962907071 | Michael Nicholas Moulton | General Practice | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2018-03-29 |
| 1558614354 | Michael D Moulton | Pharmacist | 8400 Astronaut Blvd, Cape Canaveral, FL 32920-4302 | 2012-10-18 |
| 1427085802 | Michael R Moulton | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2006-06-28 |
| 1558397489 | Michael Lowell Moulton | Internal Medicine | 813 Founders Park Dr E, Springdale, AR 72762-6314 | 2006-06-23 |
| 1952306102 | Michael Paul Moulton | Emergency Medicine | 4402 Shipyard Blvd, Wilmington, NC 28403-6161 | 2005-06-15 |
| Street Address |
988102 NEBRASKA MEDICAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033158084 | Kelly John Caverzagie | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-06-05 |
| 1780913749 | Justine Marie Miller | Physician Assistant | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2009-12-21 |
| 1427248848 | Timothy Roy Ryan | Nurse Practitioner | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-08-01 |
| 1134346745 | John Y Um | Surgery | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-04-18 |
| 1366509804 | Ibrahim Abdullah | Surgery | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-01-03 |
| 1497840763 | Walter D Bussey IIi | Physician Assistant | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-10-04 |
| 1982707204 | David Edward Gannon | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-09-06 |
| 1609816016 | Michelle Frances Johnson | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245742451 | Marian Urban | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile @ 42nd St, Omaha, NE 68198-0001 | 2017-10-27 |
| 1487175261 | Jill R Nohl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile 42nd St, Omaha, NE 68198-0001 | 2017-06-30 |
| 1275832537 | David Benjamin Berkheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S. 48th St, Omaha, NE 68198 | 2011-03-24 |
| 1356665392 | Adam Michael Kingston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2010-03-19 |
| 1942531033 | Heart Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4242 Farnam St, #355, Omaha, NE 68131-2806 | 2010-01-29 |
| 1841456498 | Helenmari L Merritt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile At 42nd St, Omaha, NE 68198-0001 | 2008-08-04 |
| 1588869598 | Karin Trujillo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S 45th St, Omaha, NE 68198-4030 | 2007-06-19 |
| 1194929976 | Aleem Siddique | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-06-13 |
| 1528080348 | Dwaine J Peetz Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7710 Mercy Rd, Suite 332, Omaha, NE 68124-2372 | 2006-07-24 |
| 1760402507 | Omaha Cardiac Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7710 Mercy Rd, Suite 332, Omaha, NE 68124-2372 | 2006-07-21 |
| Find all providers in OMAHA | ||||
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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.