Active NPI
Jeanette Ann Moleski, D.O.
- Family Medicine Physician
- Hudson, OH
National Provider Identifier
1114993326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-00-4256-M
- Practice address
- 1320 Corporate Dr
200
Hudson, OH 44236-4442 - Phone
- (330) 655-2668
- Fax
- (330) 342-5608
- NPI assigned
- Feb 27, 2006
- Last updated
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-00-4256-M | OH | Primary |
Addresses
Primary practice location
1320 Corporate Dr
200
Hudson, OH 44236-4442
Mailing address
1320 Corporate Dr
200
Hudson, OH 44236-4442
Phone (330) 655-2668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0677389 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Link Center LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hudson, OH
- NPI 1982831525
-
- Family Medicine Physician
- Hudson, OH
- NPI 1144414269
-
- Family Medicine Physician
- Hudson, OH
- NPI 1205062213
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1114993326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CORPORATE DR",
"address_2": "200",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364442",
"telephone_number": "330-655-2668",
"fax_number": "330-342-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CORPORATE DR",
"address_2": "200",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364442",
"telephone_number": "330-655-2668",
"fax_number": "330-342-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLESKI",
"first_name": "JEANETTE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-00-4256-M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0677389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.