Robert Charles Moen, M.D., PH.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

D0040846 Issued in MD

Practice address

16830 Knolls Way
Chagrin Falls, OH 44023-4556

Phone

(216) 534-6164

NPI assigned

Sep 15, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1194007112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 KNOLLS WAY",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234556",
            "telephone_number": "216-534-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 KNOLLS WAY",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234556",
            "telephone_number": "216-534-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0040846",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0040846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Michael Minich, D.D.S., M.S.D.
• Kyle Misch, MOT, OTR/L
• Mary A Miser
• Maria Misthos, MD
• Kayley Mitchell, DPT, OCS
• Monroe Nursing & Rehabilitation Center LLC
• Davvie Moore
• Deanna M. Morphy, LPCC-S
• Tracy L Mott-Goodman
• Anne Moyse

• Allergy & Immunology Physician in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Allergy & Immunology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.