Edmund Molis, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME87913 Issued in FL

Practice address

904 Hillcrest CT
Tallahassee, FL 32308-5060

Phone

(850) 363-9711

NPI assigned

Nov 24, 2008

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

Practice roles

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

• Fair Havens Inc.

  • Voluntary or Charitable Agency
  • Middleboro, MA
  • NPI 1427191261
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1104071703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HILLCREST CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085060",
            "telephone_number": "850-363-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HILLCREST CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085060",
            "telephone_number": "850-363-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIS",
        "first_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME87913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Moleski
• Stephen L. Moleski, D.C.
• Elizabeth Molina
• Joseph F Molinari, OD
• Chloe Carlena Molinaro
• Nicole Moltimore, P.T.
• Allison Jane Moltisanti, PHD
• Niko Momen, M. ED CCC-SLP
• Riha Momin
• Robert Monahan

• Neurology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.