MARGARET MOEN MD PLLC (NPI# 1255455887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255455887 |
| Entity Type | Organization |
| Organization Name | MARGARET MOEN MD PLLC |
| Practice Address |
457 Munson Ave Traverse City MI 49686-3084 |
| Practice Telephone | 2319358889 |
| Practice Fax Number | 2319350540 |
| Mailing Telephone | 2319358889 |
| Mailing Fax Number | 2319350540 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | DR. MARGARET L MOEN (OWNER) |
| Authorized Official Telephone | 2319358889 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MM050642 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | MM050642 | 01 |
| MI | NHP | 1014033 | 01 |
| MI | 4594192 | 05 | |
| MA | DEA | BM1535840 | 01 |
| MI | BCBSM | 1302810101 | 01 |
| MI | RR MEDICARE | P00116249 | 01 |
| MI | PREFERRED CHOICES | 124729 | 01 |
| MI | TAXONOMY | 2084N0400X | 01 |
| MI | SOCIAL SECURITY NUMBER | $$$$$$$$$ | 01 |
| MI | INDIVIDUAL NPI | 1336230481 | 01 |
| MI | MOLINA | QMXPR0026631 | 01 |
| Street Address |
457 MUNSON AVE |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796913 | Internal Medicine Sleep Associates Pllc | Internal Medicine | 7300 Deep Run, Bloomfield Hills, MI 48301-3821 | 2018-10-19 |
| 1457739534 | Comprehensive Sleep Diagnostics | Internal Medicine | 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 | 2015-05-11 |
| 1588078901 | Aairs Diagnostics PC | Internal Medicine | 1500 W. Big Beaver, Ste 107, Troy, MI 48084 | 2014-06-13 |
| 1184042723 | Harrison M Gimbel | Internal Medicine | 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 | 2014-04-01 |
| 1295906741 | Great Lakes Sleep Medicine Institute Plc | Internal Medicine | 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310 | 2008-03-12 |
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| 1306969944 | Ruth Darcel Barnett | Internal Medicine | 15121 W Mcnichols Rd, Detroit, MI 48235-3716 | 2007-04-09 |
| 1578634440 | Sleep Apnea Specialty Centers Of | Internal Medicine | 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 | 2006-11-13 |
| 1801966080 | Sleep Apnea Specialty Center | Internal Medicine | 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 | 2006-11-08 |
| 1760476048 | John Harmon Morrison Jr. | Internal Medicine | 10641 Castlewood Dr, White Lake, MI 48386-3724 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.