H Carl Moultrie II, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01026965A Issued in IN

Practice address

255 E 90TH Dr
Suite W1
Merrillville, IN 46410

Phone

(219) 793-9029

Fax

(219) 793-9101

NPI assigned

Jul 18, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4331/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Bone and Joint, PC

  • Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1912924937
  NPD (past) Authorized official
• Illiana Surgery & Medical Center, LLC

  dba The Orthopedics Centers, LLC

  • Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1962401927
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003815598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10727",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110727",
            "telephone_number": "219-793-9029",
            "fax_number": "219-793-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E 90TH DR",
            "address_2": "SUITE W1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-793-9029",
            "fax_number": "219-793-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "H",
        "middle_name": "CARL",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01026965A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4513204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000186722",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiana Mosley
• Watoris Mosley, TRANSPORTER
• Hayley E Moss
• Mohammed H Motawea, PT
• Hayden Marjorie Mott, M.S., CCC-SLP
• Christine Mousa, DMD
• Moving Forward LLC
• Jan Mueller, LSW
• Khalissa Muhammad, RBT
• Renee Lashawn Muhammad

• Orthopaedic Surgery Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.