Moise Mamouzette, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Christiansted, VI
NPI 1174516348 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1174516348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 1566 (VI)
- Practice address
- 201-202 Estate Ruby
Christiansted, VI 00820 - Phone
- (340) 692-6263
- Fax
- (340) 778-4922
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2008-0823 | NM | MD | Obstetrics & Gynecology Physician |
| 1566 | VI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD 2008-0823 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | 1566 | VI | Yes |
| Gynecology Physician | 207VG0400X | 225641 | NY |
Addresses
Primary practice location
201-202 Estate Ruby
Christiansted, VI 00820
Mailing address
PO Box 678
Christiansted, VI 00821-0678
Phone (340) 692-6263
Other providers in Christiansted, VI
- Emma Logan
- Brianna Lopez
- Justyna Lukaszczyk
- Ria Amita Lutchmeesingh
- Amanda Mackay
- Jose Manibo
- Shelia Helms Manning
- Johanna Manon
- Denese Gail Marshall
- Robert Harrell Martin Jr.
All providers in Christiansted, VI · Obstetrics & Gynecology Physician in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.