DR. MICHAEL MOFFITT (NPI# 1386605368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386605368 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MOFFITT |
| Credential | M.D. |
| Practice Address |
95 S Pagosa Blvd Pagosa Springs CO 81147-8329 |
| Practice Telephone | 9707313700 |
| Practice Fax Number | 9707313707 |
| Mailing Telephone | 9707313700 |
| Mailing Fax Number | 9707313707 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR.0049708 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | K8664 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
DR.0049708 | CO | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
K8664 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225052343 | Michael W Moffitt | Dentist | 422 W Broadway St, Eagle Grove, IA 50533-1704 | 2006-07-26 |
| 1396030920 | Michael D Moffitt | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2011-06-11 |
| Street Address |
95 S PAGOSA BLVD |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081136 | Peter M Dziad | Surgery | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2005-05-31 |
| 1891309977 | Rachel Anne Liverett | Nurse Practitioner | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2020-09-04 |
| 1932693389 | Susanne F Bryant | Dietitian, Registered | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2018-06-19 |
| 1598269540 | Judith Cole | Registered Nurse | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2018-03-22 |
| 1447790183 | Calvin Edgar Newsome Jr. | Nurse Practitioner | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2017-02-28 |
| 1922471135 | Maureen Cecilia Mulligan | Social Worker | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2015-11-10 |
| 1619395761 | Ryan David Stopher-mitchell | Family Medicine | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2014-04-04 |
| 1447678198 | Corinne Reed | Family Medicine | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2014-03-31 |
| 1225371131 | Kelly Anne Cesary | Registered Nurse | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2013-03-28 |
| 1396085171 | Marcia Jean Newth | Social Worker | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2013-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| Find all providers in zip 81147 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386726859 | Evette Polczynski, Md, LLC | Internal Medicine | 103 Pagosa St, Pagosa Springs, CO 81147 | 2006-10-20 |
| 1467405894 | Jeffrey A Levison | Internal Medicine | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452784 | Colorado Physician Partners, Pllc | Internal Medicine | 6169 S Balsam Way Ste 190, Littleton, CO 80123-3000 | 2020-09-21 |
| 1295346435 | Portercare Adventist Health System | Internal Medicine | 9670 W Coal Mine Ave Ste 200, Littleton, CO 80123-4004 | 2020-08-12 |
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1235747973 | New West Physicians, P.C. | Internal Medicine | 350 Indiana St Ste 250, Golden, CO 80401-5074 | 2020-07-20 |
| 1598381154 | Colorado Mountain Medical, LLC | Internal Medicine | 322 Beard Creek Rd Ste 1300, Edwards, CO 81632-6426 | 2020-06-19 |
| 1730704479 | Portercare Adventist Health System | Internal Medicine | 4344 Woodlands Blvd Ste 260, Castle Rock, CO 80104-2801 | 2020-06-09 |
| 1023632239 | Iora Health Colorado, P.C. | Internal Medicine | 730 S Federal Blvd, Denver, CO 80219 | 2020-06-03 |
| 1508480146 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2170, Brighton, CO 80601-4001 | 2020-05-29 |
| 1679193312 | Vpc Medical Group, Inc. | Internal Medicine | 6416 Sherman Peak Ct, Castle Pines, CO 80108-9492 | 2020-04-23 |
| 1427602689 | La Beaute Aesthetics Medicine | Internal Medicine | 4433 W 29th Ave, Denver, CO 80212-3032 | 2019-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
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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.