MICHAEL J. MOONEY (NPI# 1679912406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679912406 |
| Entity Type | Individual |
| Full Name | MICHAEL J. MOONEY |
| Credential | M.D. |
| Practice Address |
965 Emerson Pkwy Ste J Greenwood IN 46143 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 3178871060 |
| Practice Fax Number | 3178871460 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01076382A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11017360A | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201173910 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 362 Meridian Parke Ln, Greenwood, IN 461429425 | 3178593737 | 3178593730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376913822 | Michael J. Mooney | Nurse Practitioner | 3901 Beaubien, 3rd Floor Carl's Bldg,, #3g32, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2015-09-28 |
| 1841314952 | Michael Patrick Mooney | Optometrist | 4815 W Braker Ln Ste 560, Austin, TX 78759-5661 | 2007-03-16 |
| 1952734626 | Michael Alexander Mooney | Dentist | Usa Meddac Bavaria, Unit 28038, Apo, AA 09112 | 2013-08-16 |
| 1790124691 | Michael Mooney | Neurological Surgery | 60 Fenwood Rd, Boston, MA 02115-6128 | 2013-06-24 |
| 1124396361 | Michael H Mooney | Registered Nurse | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2011-12-02 |
| 1598919995 | Michael Joseph Mooney | Psychologist | 27730 Gratiot Ave, Roseville, MI 48066-4885 | 2008-11-11 |
| 1609985647 | Michael Joseph Mooney | Surgery | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-30 |
| 1982657748 | Michael Joseph Mooney | Social Worker | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2006-05-19 |
| 1619931847 | Michael R Mooney | Internal Medicine | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2006-04-14 |
| 1578543229 | Michael Todd Mooney | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd) Attn: Professional A, Pearl Harbor, HI 96860-3131 | 2006-01-19 |
| Street Address |
965 EMERSON PKWY STE J |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396132031 | Emily Perkins | Family Medicine | 965 Emerson Pkwy Ste J, Greenwood, IN 46143-6274 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| 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 |
|---|---|---|---|---|
| 1245862473 | Kristina Mckissick | Family Medicine | 805 Montague Ave, Greenwood, SC 29649-1471 | 2020-02-05 |
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1689066060 | Richard Glen Huber | Family Medicine | 31 N Restin Rd, Greenwood, IN 46142-8583 | 2015-02-23 |
| 1114362639 | Sarah Ann Beeson | Family Medicine | 1000 Us Highway 31 S, Greenwood, IN 46143-2407 | 2013-05-10 |
| 1013350198 | Elise Rose Laroche | Family Medicine | 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 | 2013-04-09 |
| 1548506868 | Community Health Network Inc | Family Medicine | 615 W Smith Valley Rd, Greenwood, IN 46142-3048 | 2012-12-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1518287473 | Brendan K. Sweeny | Family Medicine | 107 N State Road 135 Ste 103, Greenwood, IN 46142 | 2010-06-02 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on MICHAEL J. MOONEY.
| 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.