GEORGE CORNELIUS MOENCH (NPI# 1982735510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982735510 |
| Entity Type | Individual |
| Full Name | GEORGE CORNELIUS MOENCH |
| Credential | MD |
| Practice Address |
5702 Gulfport Blvd S Suite 4 Gulfport FL 33707-4855 |
| Practice Telephone | 7273845354 |
| Practice Fax Number | 7273845354 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME 9286 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5702 GULFPORT BLVD S SUITE 4 |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787185 | Integrated Medical and Wellness Clinic of Mississippi LLC | Family Medicine | 2160 E Pass Rd Ste 102, Gulfport, MS 39507-3801 | 2019-09-03 |
| 1366952921 | George W Monlux Jr Md Inc | Family Medicine | 4602 27th Ave S, Gulfport, FL 33711-3704 | 2017-10-09 |
| 1790071371 | Joan Marie Gonzalez | Family Medicine | 5501 Marvin Shields Blvd Bldg 295, Gulfport, MS 39501-9007 | 2011-06-22 |
| 1205129137 | Memorial Hospital At Gulfport | Family Medicine | 20006 Hwy 53, 7 Sunshine Place, Gulfport, MS 39503-0000 | 2011-05-25 |
| 1295934115 | Candace Worsham | Family Medicine | 1924 30th Ave, Gulfport, MS 39501-4534 | 2007-07-11 |
| 1730245739 | Paul G Matherne | Family Medicine | 1924 E Pass Rd, Gulfport, MS 39507-3715 | 2006-12-28 |
| 1780755173 | Roger H Reed | Family Medicine | 15444 Dedeaux Rd, Ste. B, Gulfport, MS 39503-2637 | 2006-11-10 |
| 1730268939 | Sean C Kerby | Family Medicine | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2006-11-06 |
| 1740365055 | Francisco Camero | Family Medicine | 1202 Broad Ave, Gulfport, MS 39501-2426 | 2006-10-26 |
| 1508949538 | Joseph Daniel Hull | Family Medicine | 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 | 2006-10-23 |
| Find all providers in GULFPORT | ||||
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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.