MICHAEL MORIARTY (NPI# 1881075372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881075372 |
| Entity Type | Individual |
| Full Name | MICHAEL MORIARTY |
| Credential | D.O |
| Practice Address |
1025 Silas Deane Hwy Wethersfield CT 06109 |
| Mailing Address |
1290 Silas Deane Hwy Hhc Cvo Enrollment Wethersfied CT 06109-4337 |
| Practice Telephone | 8606962400 |
| Mailing Telephone | 8609726970 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 63504 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS019260 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
63504 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT STATE LICENSE | 63504 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Silas Deane Hwy, Wethersfield, CT 061094223 | 8606962400 | |
| 605 W State St, Media, PA 19063 | 6105658600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174947709 | Michael Moriarty | Counselor | 335 N Alma School Rd Ste E, Chandler, AZ 85224-4363 | 2014-02-18 |
| 1942329768 | Michael Kevin Moriarty | Social Worker | 201 East Libert St, Ann Arbor, MI 48103 | 2007-03-29 |
| 1760541999 | Michael J Moriarty | Emergency Medicine | 43 Adams Rd, Haydenville, MA 01039-9722 | 2006-12-06 |
| 1932122504 | Michael P Moriarty | Dentist | 400 4th Ave., Seward, AK 99664 | 2006-07-25 |
| 1518447499 | Michael James Moriarty | Physical Therapy Assistant | 3838 E Southcross Blvd, San Antonio, TX 78222-3556 | 2018-08-20 |
| 1487072112 | Michael Moriarty | Urology | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2014-03-31 |
| 1730358102 | Michael T Moriarty | Nurse Anesthetist, Certified Registered | 911 Big Cove Rd Se, Huntsville, AL 35801-3750 | 2008-02-29 |
| 1831197086 | Michael Myrth Moriarty | Chiropractor | 1003 N Orchard St, Boise, ID 83706-2231 | 2005-07-12 |
| 1760480495 | Michael John Moriarty | Internal Medicine | 900 Caton Ave, St Agnes Hospital Mailbox 19, Baltimore, MD 21229-5201 | 2005-07-07 |
| Street Address |
1025 SILAS DEANE HWY |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504116 | Cheryl A. Drezek | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2005-08-10 |
| 1821641093 | Hartford Healthcare Medical Group Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2019-07-17 |
| 1902217870 | Taslima Shaikh | Family Medicine | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2014-05-14 |
| 1619211182 | Hartford Healthcare Medical Group, Inc | Clinic/Center | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2012-11-21 |
| 1780936104 | Hartford Healthcare Medical Group, Inc | Podiatrist | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2012-10-09 |
| 1093969404 | Nicole L Hettrich | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2008-11-12 |
| 1457484487 | Debra Ann Pachucki | Emergency Medicine | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2007-03-13 |
| 1225195563 | Lindsay B Knapp | Social Worker | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2007-01-03 |
| 1669568432 | Cindy A Saraceno | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2006-10-05 |
| 1811097520 | Lisa M Vanty | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2006-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1912072455 | Christina M Mclean | Family Medicine | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1587 | 2006-11-21 |
| 1831185248 | Mauks Koepke Medical LLC | Family Medicine | 57 North St, Suite # 309-310, Danbury, CT 06810-5660 | 2005-09-21 |
| City | WETHERSFIELD |
| Zip Code | 06109 |
Please comment or provide details below to improve the information on MICHAEL MORIARTY.
| 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.