MATTHEW MOLL (NPI# 1831209261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831209261 |
| Entity Type | Individual |
| Full Name | MATTHEW MOLL |
| Credential | M.D. |
| Practice Address |
720 W Central Ave El Dorado KS 67042 |
| Mailing Address |
1518 N Terhune St Wichita KS 67230-7243 |
| Practice Telephone | 3163224500 |
| Mailing Telephone | 3163719449 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31922 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 31922 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3311 E Murdock St, Wichita, KS 672083054 | 3166899107 | 3166899354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890030 | Matthew Charles Moll | Dentist | 125 N Shortridge Rd, Indianapolis, IN 46219-4908 | 2007-04-17 |
| 1528301942 | Matthew Richard Moll | Internal Medicine | 72 E Concord St, Evans 124, Boston, MA 02118-2307 | 2013-04-03 |
| 1427080308 | Matthew Moll | Internal Medicine | 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 28262-3485 | 2006-07-07 |
| Street Address |
720 W CENTRAL AVE |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018234 | Amber Nichole Dreiling | Nurse Practitioner | 720 W Central Ave, El Dorado, KS 67042-2112 | 2020-09-21 |
| 1336612191 | Ashley M Greer | Nurse Practitioner | 720 W Central Ave, El Dorado, KS 67042-2112 | 2019-01-04 |
| 1609342385 | Air Capital Emergency Services, LLC | Emergency Medicine | 720 W Central Ave, El Dorado, KS 67042-2112 | 2018-10-19 |
| 1639680937 | Jessica N Rollins | Dietitian, Registered | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-10-13 |
| 1033628300 | Austin Michael Chinberg | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-09-29 |
| 1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
| 1013439926 | Susan B. Allen Memorial Hospital | General Practice | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-12 |
| 1730584210 | Judy Shepherd Hawkins | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2014-10-27 |
| 1326448424 | Luanna Thomas | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2014-08-26 |
| 1780818351 | Susan E. King | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2009-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 1417969478 | Joseph A Deluca | Internal Medicine | 620 W Grove St Ste 202, El Dorado, AR 71730-4425 | 2006-08-11 |
| 1184631798 | Pamela Jean Schonefeld | Internal Medicine | 815 Thompson Ave, Medical Center of South Arkansas-adult Medicine, El Dorado, AR 71730-4464 | 2006-08-03 |
| 1558321752 | South Arkansas Physician Services, LLC | Internal Medicine | 714 W Faulkner St, El Dorado, AR 71730-4598 | 2006-03-23 |
| 1750373395 | Richard Worth Peckham | Internal Medicine | 715 N College Ave, El Dorado, AR 71730-4403 | 2005-08-19 |
| 1710439203 | Allison J. Sollo, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2016-10-31 |
| 1750728838 | Allison J Sollo | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2013-05-29 |
| 1184905655 | Alejandro A Vega Md Pa | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2011-08-29 |
| 1619298692 | Brenda Schewe, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2010-06-14 |
| 1245253061 | Kyle Milton Tipton | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2006-07-25 |
| 1326060575 | Phillip Stanley Olsen | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2006-07-24 |
| Find all providers in EL DORADO | ||||
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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.