Mark S Moeller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H6443 Issued in TX

Practice address

6300 West Loop S
Suite 680
Bellaire, TX 77401-2900

Phone

(713) 661-4670

Fax

(713) 661-4672

NPI assigned

Oct 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1053590133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP SOUTH",
            "address_2": "SUITE 680",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-661-4670",
            "fax_number": "713-661-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S",
            "address_2": "SUITE 680",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012900",
            "telephone_number": "713-661-4670",
            "fax_number": "713-661-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H6443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Surgical
• MLD & PT Services LLC
• Modern Medicine Associates PLLC
• Morayo A Modupe, PHARM D
• Ingrid Moeller, MA, MT-BC
• Courtney Collins Mogford, CRNA
• Jennifer Lizbeth Mohr, SW
• Brynn Monet Montgomery, OD
• Kelly Montoya, N.P.
• Allison Moore, PH.D.

• Psychiatry Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.