Michael Joseph Moylan Jr. (NPI# 1407319163, PAC ID# 6103150511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407319163 |
| PAC ID by PECOS | 6103150511 |
| Professional Enrollment ID | I20190618003412 |
| Full Name | Michael Joseph Moylan Jr. |
| Organization Legal Name | UNIVERSITY GASTROENTEROLOGY, LLC |
| Address |
110 Clock Tower Sq Fl 2 Portsmouth RI 02871-1396 |
| Phone Number | 4012935600 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678762804 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396 | 4012935600 | UNIVERSITY GASTROENTEROLOGY, LLC |
| 33 Staniford St, Providence, RI 02905-3105 | 4014218800 | UNIVERSITY GASTROENTEROLOGY, LLC |
| Organization Legal Name | UNIVERSITY GASTROENTEROLOGY, LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi V Nadimpalli | Gastroenterology | University Gastroenterology, LLC | 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396 |
| Joseph D Pianka | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Lisa Ann Mueller | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Douglas R Blake | Anesthesiology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Danielly Muchiutti | Certified Registered Nurse Anesthetist (crna) | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Jason D Ferreira | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Joel Spellun | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Mary Fortuna Silva | Nurse Practitioner | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Philip A Mcandrew | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Sheldon Lidofsky | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Street Address |
110 CLOCK TOWER SQ FL 2 |
| City | PORTSMOUTH |
| State | RI |
| Zip | 02871-1396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi V Nadimpalli | Gastroenterology | University Gastroenterology, LLC | 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Camacho | Psychologist, Clinical | 107 Clock Tower Sq, Portsmouth, RI 02871-1396 | |
| Erica Von Villas | Clinical Social Worker | 101 Clock Tower Sq, Portsmouth, RI 02871-1396 | |
| Sara R Duggan | Clinical Social Worker | 107 Clock Tower Sq, Portsmouth, RI 02871-1396 | |
| Susan M Killebrew | Clinical Social Worker | 107 Clock Tower Sq, Portsmouth, RI 02871-1396 | |
| Robert L Desrosiers | Nurse Practitioner | Lifespan Physician Group Inc | 77 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Carla M Evans | Nurse Practitioner | Lifespan Physician Group Inc | 79 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Larry A Evans | Dermatology | Lifespan Physician Group Inc | 77 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Kristin Fielding | Family Medicine | Lifespan Physician Group Inc | 77 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Anne E Neuville | Nurse Practitioner | Lifespan Physician Group Inc | 77 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Ma Liza Ann Famador | Family Medicine | Lifespan Physician Group Inc | 77 Turnpike Ave, Portsmouth, RI 02871-1419 |
| Find all physicians in zip 02871 | |||
| City | PORTSMOUTH |
| Zip Code | 02871 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTSMOUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael Joseph Moylan Jr..
| 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.