JONATHAN S. MOULTON (NPI# 1457391526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457391526 |
| Entity Type | Individual |
| Full Name | JONATHAN S. MOULTON |
| Credential | MD |
| Practice Address |
234 Goodman St Cincinnati OH 45219-2364 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5135847355 |
| Practice Fax Number | 5135840431 |
| Mailing Telephone | 5132453107 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
35.051867 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-05-1867-M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200039000A | 05 | |
| OH | ANTHEM | 000000014486 | 01 |
| OH | UHC | 1620980 | 01 |
| OH | AETNA | 655268 | 01 |
| OH | RAILROAD MEDICARE | 300033840 | 01 |
| WV | 300289600 | 05 | |
| SC | Q51867 | 05 | |
| OH | 0626675 | 05 | |
| KY | 64787112 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851408264 | Jonathan V Moulton | Internal Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609404896 | Yunus Emre Senturk | Radiology | 3031 Eden Ave Apt No301, Cincinnati, OH 45219-2334 | 2020-04-01 |
| 1588981518 | Anshu Shukla | Radiology | 5400 Kennedy Ave Ste 1, Cincinnati, OH 45213-2668 | 2010-04-30 |
| 1801883913 | Lakshmi Kode Sammarco | Radiology | 4795 Drake Rd, Cincinnati, OH 45243-4119 | 2005-10-04 |
| 1366928616 | David Ting-chang Wang | Radiology | 234 Goodman St, Cincinnati, OH 45219 | 2018-07-18 |
| 1194159095 | Abdelkader Mahammedi | Radiology | 234 Goodman St, Cincinnati, OH 45219 | 2013-08-27 |
| 1881947034 | Franklin Carneiro | Radiology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-10-24 |
| 1275888059 | Eung Yeop Kim | Radiology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-07-18 |
| 1215293352 | Robert E Hobohm | Radiology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-04-03 |
| 1356648984 | Lily Li-li Wang | Radiology | 234 Goodman St, Ml0761, Cincinnati, OH 45219-2364 | 2011-02-17 |
| 1154597136 | Usha Nagaraj | Radiology | 3333 Burnet Ave, Cincinnati, OH 45229 | 2008-04-30 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.