DOUGLAS MOINUDDIN (NPI# 1750907051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750907051 |
| Entity Type | Individual |
| Full Name | DOUGLAS MOINUDDIN |
| Credential | MD |
| Practice Address |
28360 Center Ridge Rd Apt 229 Westlake OH 44145-6797 |
| Mailing Address |
Po Box 451452 Westlake OH 44145-0639 |
| Practice Telephone | 2165334449 |
| Mailing Telephone | 2165334449 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
35.096929 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
28360 CENTER RIDGE RD APT 229 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-6797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
| 1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
| 1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
| 1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
| 1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
| 1467826453 | First Step Recovery Center | Family Medicine | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2015-11-14 |
| Find all providers with the same taxonomy | ||||
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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.