DR. PATRICK L MOLT (NPI# 1891796835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796835 |
| Entity Type | Individual |
| Full Name | DR. PATRICK L MOLT |
| Credential | MD |
| Practice Address |
207 Nw 10th St Fairfield IL 62837-1237 |
| Mailing Address |
Po Box 465 Fairfield IL 62837-0465 |
| Practice Telephone | 6188423813 |
| Practice Fax Number | 6188422514 |
| Mailing Telephone | 6188423813 |
| Mailing Fax Number | 6188422514 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2011-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036-100313 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 411196 | 01 | |
| IL | BCBS | 09622874 | 01 |
| IL | 036100313 | 05 | |
| RAILROAD MEDICARE | 020051703 | 01 |
| Street Address |
207 NW 10TH ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245538859 | Southern Illinois Surgical Care Associates, P.C. | Surgery | 207 Nw 10th St, Fairfield, IL 62837-1237 | 2011-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497982581 | Jennifer S. Schwartz | Surgery | 2000 Post Rd Ste 101, Fairfield, CT 06824-5730 | 2009-06-16 |
| 1992906432 | Alex Vincent Funicello | Surgery | 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 | 2007-05-31 |
| 1124198742 | Mark Charles Steckel | Surgery | 140 Sherman Street, Fairfield, CT 06824 | 2006-11-09 |
| 1487730719 | Norman Verches Santos | Surgery | 695 Route 46 W, Suite 400a, Fairfield, NJ 07004-1592 | 2006-10-30 |
| 1063459246 | James E Fitzpatrick | Surgery | 3050 Mack Rd Ste 310, Fairfield, OH 45014-5376 | 2006-05-31 |
| 1275581886 | John Peter Zopfi | Surgery | 1860 Pennsylvania Ave., #200, Fairfield, CA 94533 | 2006-05-05 |
| 1982683298 | Beth E Hothanzielinski | Surgery | 2000 S Main, Fairfield, IA 52556-9572 | 2006-01-13 |
| 1104811942 | Robert Alan Lanflisi | Surgery | 1245 Travis Blvd, #f, Fairfield, CA 94533-4898 | 2005-09-19 |
| 1063406874 | Mary F Welsh | Surgery | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2005-09-07 |
| 1073506606 | Girish Babu Nagesetty | Surgery | 1251 Nilles Road, Suite17, Fairfield, OH 45014-7205 | 2005-08-30 |
| Find all providers in FAIRFIELD | ||||
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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.