M Steven Moehle MD PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME61351 Issued in FL

Legal business name

M STEVEN MOEHLE MD PL

Practice address

4621 N Davis Hwy
Pensacola, FL 32503-2338

Phone

(850) 454-1764

Fax

(850) 494-0318

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Michel S Moehle

Title

Sole MBR

Phone

(850) 454-1764

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michel Steven Moehle MD PA Former legal business name

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1306934906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032338",
            "telephone_number": "850-454-1764",
            "fax_number": "850-494-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032338",
            "telephone_number": "850-454-1764",
            "fax_number": "850-494-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M STEVEN MOEHLE MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "MOEHLE",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "850-454-1764"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME61351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378163100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PTAN",
            "identifier": "DP4563",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michel Steven Moehle MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaleigh Lyon, CAA
• Thomas Lyons Jr., D.M.D.
• Louisa Taylor Lyster, MSW
• Mark Edward Lytle, M.D.
• M & C Construction, LLC
• M&a Community Outreach Center Inc
• Ma' Therapy (Massage Spa Clinic)
• Rio Rita Mastrili Maano, M.D.
• Natalie Mabire
• Chessy Marie Macdonald, PA-C

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.