DR. RICHARD MOLDWIN (NPI# 1780829911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780829911 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MOLDWIN |
| Credential | MD |
| Practice Address |
9017 Ewing Ave Evanston IL 60203-1908 |
| Practice Telephone | 8479830085 |
| Mailing Telephone | 8479830085 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
036.082760 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9017 EWING AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60203-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026210 | Catherine Gluck | Physical Therapist | 8827 Central Park Ave, Evanston, IL 60203 | 2008-09-19 |
| 1750597399 | Christian F Wong | Pharmacist | 9306 N Bennett Ave., Evanston, IL 60203 | 2007-05-14 |
| 1811093156 | Michael Horowitz | Psychologist | 9231 Springfield Avenue, Evanston, IL 60203 | 2006-09-15 |
| 1962809418 | Donna Stanton | Registered Nurse | 9514 Lawndale Ave, Evanston, IL 60203-1007 | 2014-11-28 |
| 1548486731 | Judith B Schechtman | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
| 1558587642 | Psyche Net Inc | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
| 1881723856 | Cynthia Franklin | Pharmacist | 9521 Harding Ave, Evanston, IL 60203-1019 | 2007-03-05 |
| 1518982362 | Carol Evelyn Gordon | Social Worker | 9443 Drake Ave, Evanston, IL 60203-1105 | 2006-07-13 |
| 1114221660 | Megan Haughey | Behavioral Analyst | 9440 Drake Ave, Evanston, IL 60203-1106 | 2010-12-26 |
| 1326263740 | Richard D Chessick | Psychiatry & Neurology | 9400 Drake Ave, Evanston, IL 60203-1106 | 2007-04-13 |
| Find all providers in zip 60203 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
| 1801005848 | Marie-ellen Tubal Sarvida | Pediatrics | 4440 West 95th Street, Oak Lawn, IL 60453 | 2007-05-22 |
| 1639395304 | Lenore Evans Gonzalez | Pediatrics | 236 S 5th St, Apt C, Springfield, IL 62701-1431 | 2007-04-18 |
| 1700948643 | Astrid K. Mack | Pediatrics | 2300 N Childrens Plz # 30, Chicago, IL 60614-3363 | 2006-12-15 |
| 1659449163 | Pediatric Cancer Institute | Pediatrics | 4440 W.95th Street, Oak Lawn, IL 60453 | 2006-12-01 |
| 1699724385 | Joanna Lynn Weinstein | Pediatrics | 2300 Childrens Plaza Box 30, Childrens Memorial Hospital Hem Onc, Chicago, IL 60614 | 2006-05-09 |
| 1568433050 | University of Illinois | Pediatrics | St Jude Midwest Affiliate, 530 Ne Glen Oak, Peoria, IL 61637-0001 | 2006-02-01 |
| 1396731063 | Michael D Tarantino | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2005-09-27 |
| 1427051622 | John M Cunningham | Pediatrics | 5841 South Maryland Ave, University of Chicago Rm N-112 Mc 4060, Chicago, IL 60637 | 2005-05-23 |
| 1841293032 | Pedro A De Alarcon | Pediatrics | Children's Hospital of Illinois 530 Ne Glen Oak Ave, Peoria, IL 61637 | 2005-05-23 |
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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.