NPIMap

Individual provider Active NPI

Todd Stanley Mooney, M.D.

  • Family Medicine Physician
  • Panguitch, UT
National Provider Identifier
1013024330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30991171205 Issued in UT
Practice address
400 E 200 N
Panguitch, UT 84759-0389
Phone
(435) 676-8811
Fax
(435) 676-2679
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30991171205 UT Primary

Addresses

Primary practice location

400 E 200 N
Panguitch, UT 84759-0389

Mailing address

PO Box 389
Panguitch, UT 84759-0389
Phone (435) 676-8811

Other identifiers 1

IdentifierTypeStateIssuer
D3477OtherUTID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031227000013 UT Practitioner - Family Practice 3577461623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garfield CountyGroup PAC ID 6305744459, shared by 6 NPIs, 11 clinicians

Practice addresses (Care Compare)

200 N 400
Garfield Memorial Hospital Physicians Group
Panguitch, UT 84759-0389
Phone (435) 676-8842

570 E Moqui LN
Escalante, UT 84726-7753
Phone (435) 826-4374

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30991171205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Community Health Centers Inc Current Accepting new patients
Garfield County Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
Garfield County CurrentSince Jan 1, 2026 Accepting new patients
Wayne Community Health Centers Inc CurrentSince Dec 20, 2014 Accepting new patients
Garfield County CurrentSince Jul 1, 2000 Accepting new patients
Wayne Community Health Centers, Inc CurrentSince Dec 20, 2014 Accepting new patients
Garfield County Past Accepting new patients
Wayne Community Health Centers Inc Past Accepting new patients
Garfield County Past Accepting new patients
Emergency Services, PA Past Accepting new patients
Garfield County Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD
  • Direct secure messaging: todd.mooney@wchcinc.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013024330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847590389",
            "telephone_number": "435-676-8811",
            "fax_number": "435-676-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 200 N",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847590389",
            "telephone_number": "435-676-8811",
            "fax_number": "435-676-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "TODD",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "30991171205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID #",
            "identifier": "D3477",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panguitch, UT

Sources for this page

Verify at the official NPI Registry.