DR. JOSIAH MOULTON (NPI# 1942640875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942640875 |
Entity Type | Individual |
Full Name | DR. JOSIAH MOULTON |
Credential | D.O. |
Practice Address |
7321 Balmer St Hill Afb UT 84056-5012 |
Practice Telephone | 8015869596 |
Mailing Telephone | 8015869596 |
Enumeration Date | 2013-06-25 |
Last Update Date | 2018-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 125.063892 | IL | Allopathic & Osteopathic Physicians |
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
1294 | NE | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3712 Scotsdale Dr, Swansea, IL 622267589 | 8013107145 |
Street Address |
7321 BALMER ST |
City | HILL AFB |
State | UT |
Zip Code | 84056-5012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134113657 | Mark Allen Vanzant | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2005-09-12 |
1134784077 | Isaac Quinn Garrett | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2019-05-07 |
1811469604 | Michael Burnett | Physician Assistant | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-12-18 |
1164914024 | Lawrence Daniel Merket | Nurse Practitioner | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-06-05 |
1821501354 | Marc Allen Palmer | Psychologist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2017-11-06 |
1649794496 | Roger Morris Pedersen | Pharmacist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2017-08-02 |
1740711209 | Eric Bernhard Williams | Pharmacist | 7321 Balmer St, 75 Mdg - Pharmacy, Hill Afb, UT 84056-5012 | 2017-03-24 |
1306394697 | Michael R Humphrey | Nurse Practitioner | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2016-09-14 |
1114368024 | Erin Elizabeth Reddis | Family Medicine | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2013-07-09 |
1053658641 | Broghan Enright | Physician Assistant | 7321 Balmer St, Bldg 570, Hill Afb, UT 84056-5012 | 2013-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629639885 | Brian A Silva | Physician Assistant | 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 | 2019-06-27 |
1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
1194107912 | Kelly Johnson | Social Worker | 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 | 2015-06-29 |
1831449156 | Curt G Martin | Dentist | 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 | 2012-09-13 |
1811253222 | Tiffany Amber Brakefield | Psychologist | 7309 Balmer St Bldg 545, Hill Afb, UT 84056 | 2012-04-10 |
1982910907 | Peter Shigeki Frandsen | Dentist | 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 | 2010-08-27 |
1861625436 | Michael David Brewer | Family Medicine | 7321 Balmer Ave, Hill Afb, UT 84056 | 2009-08-31 |
1780838789 | Nisha Ray Baur | Pediatrics | Bldg 569 Hill Afb, Clearfield, UT 84056 | 2008-11-05 |
1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
Find all providers in zip 84056 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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1164061370 | Oak Hill Medical Group LLC | Family Medicine | 6781 N 2100 E, Liberty, UT 84310-4701 | 2020-01-06 |
1811262280 | Terrance Stephen Drake | Family Medicine | 5563 Coventry Rd, Highland, UT 84003-3473 | 2012-03-18 |
1629393509 | Rox Charles Burkett | Family Medicine | 1392 N Sunridge Cir, Washington, UT 84780-2397 | 2010-04-02 |
1598096083 | Wasatch Physical Therapy & Rehabilitation, Inc | Family Medicine | 823 E 400 S, Salt Lake City, UT 84102-2903 | 2010-01-22 |
1063492304 | Gary L Child | Family Medicine | 945 W 3200 N, Lehi, UT 84043-9771 | 2006-01-20 |
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1801127345 | Wasatch Physical Therapy & Rehabilitation, Inc | Family Medicine | 3920 S 1100 E Ste 115, Millcreek, UT 84124 | 2010-01-22 |
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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.