Active NPI
Timothy J Mooney, M.D.
- Gynecology Physician
- Hammond, LA
National Provider Identifier
1295732774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD.019931
- Practice address
- 42333 Deluxe PLZ
Suite 7
Hammond, LA 70403-1239 - Phone
- (985) 345-2555
- Fax
- (985) 345-2837
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD.019931 | LA | Primary |
Addresses
Primary practice location
42333 Deluxe PLZ
Suite 7
Hammond, LA 70403-1239
Mailing address
807 Eden Oaks Dr
Ponchatoula, LA 70454-6389
Phone (985) 345-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1985368 | Medicaid | LA |
Other names 1
- Mr. Timothy J Mooney
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in New Orleans, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
42333 Deluxe PLZ
Suite 7
Hammond, LA 70403-1239
Phone (985) 345-2555
Hospital & facility affiliations
- North Oaks Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.019931 | LA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy J. Mooney, M.D., L.L.C. | Gynecology | Current | Accepting new patients |
| C. Markham Berry III, M.D., L.L.C. | Gynecology | Current | Accepting new patients |
Locations
42333 Deluxe Plz
Ste 7
Hammond, LA 70403
Phone (985) 345-2555
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecology Physician
- Hammond, LA
- NPI 1740504042
-
- Gynecology Physician
- Hammond, LA
- NPI 1215251590
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1295732774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 EDEN OAKS DR",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704546389",
"telephone_number": "985-345-2555",
"fax_number": "985-345-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42333 DELUXE PLZ",
"address_2": "SUITE 7",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031239",
"telephone_number": "985-345-2555",
"fax_number": "985-345-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "LA",
"license": "MD.019931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1985368",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIMOTHY",
"last_name": "MOONEY",
"middle_name": "J",
"prefix": "MR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.