Moayyed Moallem (NPI# 1760445050, PAC ID# 2062416019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1760445050 |
| PAC ID by PECOS | 2062416019 |
| Professional Enrollment ID | I20090715000767 |
| Full Name | Moayyed Moallem |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC |
| Address |
520 S 7th St Vincennes IN 47591-1038 |
| Phone Number | 8128853280 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 3971671330 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| 150153 | ST VINCENT HEART CENTER OF INDIANA LLC |
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| 150042 | GOOD SAMARITAN HOSPITAL |
| 150157 | ST. VINCENT CARMEL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 10580 N Meridian St, Indianapolis, IN 46290-1028 | 3175835000 | ST VINCENT MEDICAL GROUP INC |
| 10590 N Meridian St, Indianapolis, IN 46290-1028 | ST VINCENT MEDICAL GROUP INC | |
| 1590 N Meridian St, Suite 105, Indianapolis, IN 46290-1028 | 3175837888 | ST VINCENT MEDICAL GROUP INC |
| 2001 W 86th St, Indianapolis, IN 46260-1902 | 3173382345 | ST VINCENT MEDICAL GROUP INC |
| 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 3174158500 | ST VINCENT MEDICAL GROUP INC |
| 8330 Naab Rd, Indianapolis, IN 46260-1932 | ST VINCENT MEDICAL GROUP INC | |
| 8402 Harcourt Rd, Indianapolis, IN 46260-2056 | ST VINCENT MEDICAL GROUP INC | |
| 520 S 7th St, Vincennes, IN 47591-1038 | 8128853280 | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Miller | Orthopedic Surgery | Good Samaritan Hospital Physician Services Inc | 2005 State St, Suite A, Washington, IN 47501-8559 |
| Jennifer Hoyt | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 1813 Willow St, 3 Conv Care, Vincennes, IN 47591-4276 |
| Felicitas Z Gatchalian | Internal Medicine | Good Samaritan Hospital Physician Services Inc | 514 S 9th St, Vincennes, IN 47591-2709 |
| Amanda E Horst | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 406 N 1st St, Good Samaritan Psi Palliative, Vincennes, IN 47591-1340 |
| Bart J Debrock | Urology | Good Samaritan Hospital Physician Services Inc | 200 S 6th St, Good Samaritan Psi Urology, Vincennes, IN 47591-1122 |
| Thomas P Orourke | Obstetrics/gynecology | Good Samaritan Hospital Physician Services Inc | 700 Willow St, Vincennes, IN 47591-1029 |
| William K Mayfield | Obstetrics/gynecology | Good Samaritan Hospital Physician Services Inc | 625 S 7th St, Good Samaritan Psi Mayfield, Vincennes, IN 47591-1069 |
| Elaine L Burcham | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Derek A Besing | Podiatry | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Allyson Michelle Wehrheim | Physician Assistant | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Street Address |
520 S 7TH ST |
| City | VINCENNES |
| State | IN |
| Zip | 47591-1038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mini Sra | Hospitalist | Apogee Medical Group Indiana PC | 520 S 7th St, Vincennes, IN 47591-1038 |
| Elaine L Burcham | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Derek A Besing | Podiatry | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Alan D Stewart | Internal Medicine | 520 S 7th St, Vincennes, IN 47591-1038 | |
| Adrian L Carter | Family Medicine | Midwest Emergency Medicine Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Lora K Gray | Clinical Social Worker | Good Samaritan Hospital | 520 S 7th St, Emergency Room, Vincennes, IN 47591-1038 |
| Allyson Michelle Wehrheim | Physician Assistant | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Cathy A L Rogers | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Jane E Melvin | Clinical Social Worker | Good Samaritan Hospital | 520 S 7th St, Emergency Room, Vincennes, IN 47591-1038 |
| Tamy E Perng | General Surgery | Good Samaritan Hospital Physician Services Inc | 520 S 7th St, Vincennes, IN 47591-1038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Becher | Nurse Practitioner | Good Samaritan Family Health Center Inc | 429 S 6th St, Vincennes, IN 47591-1022 |
| Jennifer L Inman | Nurse Practitioner | Good Samaritan Hospital | 429 S 6th St, Primary Care Clinic, Vincennes, IN 47591-1022 |
| Rafael Lao | Nephrology | 700 Willow St, Suite 100, Vincennes, IN 47591-1028 | |
| Thomas P Orourke | Obstetrics/gynecology | Good Samaritan Hospital Physician Services Inc | 700 Willow St, Vincennes, IN 47591-1029 |
| Shalin Arnett | Obstetrics/gynecology | Good Samaritan Hospital Physician Services Inc | 700 Willow St, 201 Arnett, Vincennes, IN 47591-1029 |
| Charles E Hendrix Jr. | Internal Medicine | Good Samaritan Hospital Physician Services Inc | 700 Willow St, 202 Internal Med, Vincennes, IN 47591-1029 |
| Jane M Bridges | Family Medicine | Good Samaritan Hospital Physician Services Inc | 700 Willow St, 200 Bridges, Vincennes, IN 47591-1029 |
| Dustin Patrick Blackwell | Obstetrics/gynecology | Good Samaritan Hospital Physician Services Inc | 700 Willow St, 201 Arnett, Vincennes, IN 47591-1029 |
| Stacy A Wilson | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 700 Willow St, 201 Arnett, Vincennes, IN 47591-1029 |
| Joshua Eagleson | Nurse Practitioner | Good Samaritan Hospital | 515 Bayou St, Vincennes, IN 47591-1034 |
| Find all physicians in zip 47591 | |||
| City | VINCENNES |
| Zip Code | 47591 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | VINCENNES + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Moayyed Moallem.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.