Andre Jean Mouledoux Jr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

46042 Issued in TN

Practice address

400 North Highland Ave
Middle Tennessee Medical Center
Murfressboro, TN 37130

Phone

(410) 328-8025

Fax

(410) 328-8028

NPI assigned

Feb 20, 2007

Last updated

May 5, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Jefferson Emergency Management LLC

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1639684061
  Medicare reassignment NPD
• Louisiana Em-1 Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1770536658
  NPD (past)
• Metairie Physician Services Inc.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1801233648
  NPD (past)
• Michael E Isabelle MD Apmc

  • Emergency Medicine Physician
  • Houma, LA
  • NPI 1083883474
  NPD (past)
• Tchefuncta Emergency Physicians LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1194890624
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1265577084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANTAGE WAY, SUITE B-240",
            "address_2": "MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281562",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTH HIGHLAND AVE",
            "address_2": "MIDDLE TENNESSEE MEDICAL CENTER",
            "city": "MURFRESSBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULEDOUX",
        "first_name": "ANDRE",
        "middle_name": "JEAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "46042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ellen Opie, MS, RDN, CSSD, LDN
• Dharapuram S Venugopal

• Emergency Medicine Physician in Murfressboro, TN
• Providers in Murfressboro, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.