ANDREW MOULTON (NPI# 1164043626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164043626 |
| Entity Type | Individual |
| Full Name | ANDREW MOULTON |
| Practice Address |
3333 Green Bay Rd North Chicago IL 60064-3037 |
| Practice Telephone | 3609302912 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649292046 | Andrew Wells Moulton | Orthopaedic Surgery | 2730 N Mcmullen Booth Rd Ste 202, Clearwater, FL 33761-3302 | 2006-07-24 |
| 1245869726 | Andrew Moulton | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-04-06 |
| Street Address |
3333 GREEN BAY RD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465330 | Joanne Y.h. Kwak-kim | Obstetrics & Gynecology | 3333 Green Bay Rd, The Clinics At Rosalind Franklin University, North Chicago, IL 60064-3037 | 2005-11-28 |
| 1912505181 | Akshay Jain | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-10-11 |
| 1326654005 | Matthew Lee Diamond | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-09-18 |
| 1104430990 | Travis Clinton O'rear | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-08-31 |
| 1275145740 | Katie Springer | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-08-17 |
| 1023628039 | Lindsay Elizabeth Edwards | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3095 | 2020-08-04 |
| 1205445293 | Twinkle D Patel | Physician Assistant | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-07-27 |
| 1376151498 | Daniel Chu | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-07-14 |
| 1336767292 | Marcus Laron Forward II | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-07-08 |
| 1639796790 | Daniel Michael Drzewiecki | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, College of Health Professions: Physician Assistant Dept, North Chicago, IL 60064-3037 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046835 | Karan Pandher | Student in an Organized Health Care Education/Training Program | 3333 North Greenbay Road, North Chicago, IL 60088-6008 | 2020-05-29 |
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1972131985 | Janhavi Mahesh Dhargalkar | Student in an Organized Health Care Education/Training Program | 814 18th St, North Chicago, IL 60064-2130 | 2020-03-27 |
| 1912505181 | Akshay Jain | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-10-11 |
| 1326654005 | Matthew Lee Diamond | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-09-18 |
| 1104430990 | Travis Clinton O'rear | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-08-31 |
| 1275145740 | Katie Springer | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-08-17 |
| 1023628039 | Lindsay Elizabeth Edwards | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3095 | 2020-08-04 |
| 1376151498 | Daniel Chu | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-07-14 |
| 1336767292 | Marcus Laron Forward II | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-07-08 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
Please comment or provide details below to improve the information on ANDREW MOULTON.
| 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.