MICHAEL J. MOELLER


Address: 1515 Doctors Cir, Building C, Wilmington, NC 28401-7403
Phone: 9107635182

MICHAEL J. MOELLER (NPI# 1972597839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972597839
Entity Type Individual
Full Name MICHAEL J. MOELLER
Credential M.D.
Practice Address 1515 Doctors Cir
Building C
Wilmington
NC 28401-7403
Mailing Address Po Box 602484
Charlotte
NC 28260-2484
Practice Telephone 9107635182
Practice Fax Number 9107630291
Mailing Telephone 9107635182
Mailing Fax Number 9107630291
Enumeration Date 2005-09-07
Last Update Date 2014-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
32405 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC RAILROAD MEDICARE 110065489 01
NC 1972597839 05
NC 8959929 05

Other Providers MICHAEL MOELLER

NPI Name Taxonomy Address Enumeration
1467963199 Michael Erhardt Moeller Naturopath 740 Garden View Ct Ste 207, Encinitas, CA 92024-2474 2017-10-20
1700312527 Michael James Moeller Dentist 748 S New St Ste C, Dover, DE 19904-3573 2017-05-11
1013120302 Michael Scottq Moeller Family Medicine 2218 Seth Williams Blvd, Camp Lejeune, NC 28547-1302 2007-05-07
1184615403 Michael Gene Moeller Emergency Medicine 1441 Constition Blvd, Salinas, CA 93906 2005-11-04
1598765877 Michael L Moeller Psychiatry & Neurology 600 Reed St, Suite 115, Mankato, MN 56001-6410 2005-07-28
1245237916 Michael L Moeller Family Medicine 500 E Central Ave, Bond Clinic, P.a., Winter Haven, FL 33880-3053 2005-07-07

Office Location

Street Address 1515 DOCTORS CIR
BUILDING C
City WILMINGTON
State NC
Zip Code 28401-7403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780677187 William A Crafford Jr. Internal Medicine 1515 Doctors Cir, Hanover Medical Specialists, P.a., Wilmington, NC 28401-7403 2005-08-31
1417219163 Carolina Healthcare Associates, Inc. Internal Medicine 1515 Doctors Cir, Building C, Wilmington, NC 28401-7403 2012-06-08
1922327154 Hanover Medical Specialists, P.a. Dietitian, Registered 1515 Doctors Cir, Wilmington, NC 28401-7403 2010-05-27
1871755603 Hanover Medical Specialists Pa Clinic/Center 1515 Doctors Cir, Hanover Medical Specialists Pa, Wilmington, NC 28401-7403 2008-07-02
1851570444 Kenneth Nathan Gregory Nurse Practitioner 1515 Doctors Cir, Buidling C, Wilmington, NC 28401-7403 2007-10-30
1598892895 Christine J. Furmick Physician Assistant 1515 Doctors Cir, Hanover Medical Specialists, Wilmington, NC 28401-7403 2007-02-27
1477598944 Hanover Medical Specialists P A Internal Medicine 1515 Doctors Cir, Wilmington, NC 28401-7403 2006-06-18
1285603332 Eileen Marie Ceponis Nurse Practitioner 1515 Doctors Cir, Hanover Medical Specialists, Pa, Wilmington, NC 28401-7403 2006-03-14
1548240229 Scott Louis Itzkowitz Internal Medicine 1515 Doctors Cir, Building A, Wilmington, NC 28401-7403 2006-01-19
1891789756 James M. Mertesdorf Internal Medicine 1515 Doctors Cir, Hanover Medical Specialists, Wilmington, NC 28401-7403 2005-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437430741 Kenneth M. Corrin, Jr., M.d., P.a. Internal Medicine 1307 N Rodney St, Wilmington, DE 19806-4226 2011-08-31
1437278082 Elinor Miller Internal Medicine 721 Blackshire Rd, Wilmington, DE 19805-2837 2007-03-28
1720147903 Cardiology Assoc LLC Internal Medicine 2101 Faulk Road, Wilmington, DE 19170 2006-12-06
1871651380 Delaware Medical Associates P.a. Internal Medicine 2101 Foulk Road, Wilmington, DE 19810 2006-12-05
1376581363 Delaware Medical Group, LLC Internal Medicine 2006 Limestone Rd Ste 3, Wilmington, DE 19808-5553 2006-06-03
1659334696 Hassan F Hamed Internal Medicine 1150 W Locust St Ste 300, Wilmington, OH 45177-2063 2006-04-10
1134189046 Wilmington Cardiology Pllc Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2006-03-24
1437122868 Syed S Husain Internal Medicine 630 W Main St Ste 105, Wilmington, OH 45177-2171 2006-02-08
1780677187 William A Crafford Jr. Internal Medicine 1515 Doctors Cir, Hanover Medical Specialists, P.a., Wilmington, NC 28401-7403 2005-08-31
1902805922 Kamar T Adeleke Internal Medicine 2401 Pennsylvania Ave, Ste 101, Wilmington, DE 19806-1432 2005-07-20
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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