Douglas Edward Moomaw, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00001173 Issued in WA

Practice address

1556 N Wenatchee Ave
Suite D
Wenatchee, WA 98801

Phone

(509) 665-3100

Fax

(509) 665-9980

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225187230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 N WENATCHEE AVE",
            "address_2": "SUITE D",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-665-3100",
            "fax_number": "509-665-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 N WENATCHEE AVE",
            "address_2": "SUITE D",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-665-3100",
            "fax_number": "509-665-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOMAW",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8076010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Juel Qiaoli Montgomery, DPT
• Kimberly Montgomery, AA
• Katrina Marie Montoya
• Angelina Nicole Moody, RN
• Moomaw Hearing Center Inc
• Katelin Moon, LMT
• Mooney and Holmberg, DDS, PLLC
• Brian Mooney, D.D.S.
• Hayley Mooney, LMHCA
• Adriana J Mora Sanchez, CNA

• Audiologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Audiologist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.