Active NPI
Fritz Moise, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1184689333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29997
- Practice address
- 200 Wakefield Trce
Louisville, KY 40245-5143 - Phone
- (502) 245-0445
- NPI assigned
- Apr 19, 2006
- Last updated
- Mar 19, 2025
- Sex
- Male
- 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 | 29997 | KY | Primary |
Addresses
Primary practice location
200 Wakefield Trce
Louisville, KY 40245-5143
Mailing address
200 Wakefield Trce
Louisville, KY 40245-5143
Phone (502) 774-4401
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000381974 | Other | KY | ANTHEM FOR NICC |
| 200107170 | Medicaid | IN | |
| P00449265 | Other | KY | RRMCR |
| 200107170 | Other | KY | MD WISE- NORTON IMMEDIATE CARE CENTER |
| 200107170 | Other | IN | ANTHEM INDIANA MEDICAID- NORTON ICC |
| 200107170 | Other | KY | HEALTHY INDIANA PLAN- NORTON IMMEDIATE CARE CENTER |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29997 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Enterprises, Inc. | Past | Accepting new patients | |
| Peony Emergency Physicians | Past | Accepting new patients | |
| Scharfenberger Family Dentistry, PSC | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Norton Community Medical Associates
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- NPI 1104863562
-
- General Practice Dentistry
- Louisville, KY
- NPI 1639196660
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1184689333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WAKEFIELD TRCE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455143",
"telephone_number": "502-774-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WAKEFIELD TRCE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455143",
"telephone_number": "502-245-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "FRITZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "29997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOR NICC",
"identifier": "000000381974",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200107170",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00449265",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD WISE- NORTON IMMEDIATE CARE CENTER",
"identifier": "200107170",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIANA MEDICAID- NORTON ICC",
"identifier": "200107170",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY INDIANA PLAN- NORTON IMMEDIATE CARE CENTER",
"identifier": "200107170",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.