Molly Moloznik, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3254 Issued in AZ

Practice address

5601 W Eugie Ave
106
Glendale, AZ 85304-1255

Phone

(602) 978-6255

Fax

(602) 564-9286

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.99 of 100Reported as group

Quality

96.86

Improvement activities

40

Cost

70.83

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Advanced Dermatology of Arizona, PC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1922484088
  Medicare reassignment
• Center for Dermatology, PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1194792416
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164587226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121123",
            "telephone_number": "602-330-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W EUGIE AVE",
            "address_2": "106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041255",
            "telephone_number": "602-978-6255",
            "fax_number": "602-564-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLOZNIK",
        "first_name": "MOLLY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahesh S Mokhashi, M.D.
• Edward Alexander Molette, RPH, PHARM-D
• Elizabeth Molina
• Joann Marie Molina
• Molled Travel Vaccines, PLLC
• Alan J Moltz, D.D.S.
• Andrea Marie Molus, OTR/L
• Momentum Counseling Services
• Sara Momika, RPH
• Monarch Dermatology and Wellness Center LLC

• Medical Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.