Moen, MD, PC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

MOEN, MD, PC

Doing business as

Prospero Health Partners

Practice address

4900 California Ave
Tower B 2ND Floor
Bakersfield, CA 93309

Phone

(901) 438-6200

NPI assigned

Dec 10, 2020

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Mann

Title

Billing Credentialing Manager

Phone

(901) 422-7608

Specialties & licenses 1

Addresses

Other names 1

• Prospero Health Partners Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W Moen, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wyoming, MN
  • NPI 1942312301
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1265038681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-422-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE",
            "address_2": "TOWER B 2ND FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "901-438-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-422-7608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospero Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prospero Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mobility Plus
• Moby Transportation
• Modern Aesthetic Institute Inc.
• Aung Kyaw Moe, M.D.
• Aung Myint Moe, M.D
• Daniel Moffett
• Farzad Reza Moghaddam, DDS,MS
• Nadia Moghim
• Mohamed M Hammami MD Inc
• Ayman Mohamed

• Hospice and Palliative Medicine (Family Medicine) Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.