Harold S. Moberly M.D. PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12014 Issued in KY

Legal business name

HAROLD S. MOBERLY M.D. PSC

Practice address

246 W Lexington Ave
Winchester, KY 40391-1957

Phone

(859) 744-2732

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold S Moberly, MD

Title

Physician

Phone

(859) 744-2732

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1083887459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911957",
            "telephone_number": "859-744-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911957",
            "telephone_number": "859-744-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD S. MOBERLY M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MOBERLY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-744-2732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "12014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64120140",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65913196",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000047309",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misti Lynn Hall, LMFT
• Ronald D Hamilton, MD
• Trisha Hampton
• Happy Hearing Clinic, LLC
• Courtney Harley, OTR/L
• Kathryn Harris, HCP
• Laura L Harvell, LCSW
• Ian Haycocks, MD
• Tiffani Dawn Nicole Hays, CSW
• Paige C Hecker

• Family Medicine Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.