Jamie M Moenster DO PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

006018 Issued in AZ

Legal business name

JAMIE M MOENSTER DO PC

Practice address

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352

Phone

(520) 458-1787

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Michelle Moenster, D.O.

Title

Primary Shareholder

Phone

(636) 541-1584

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: jmoenster@directaddress.net

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1326391848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787",
            "fax_number": "520-458-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE M MOENSTER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MOENSTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRIMARY SHAREHOLDER",
        "authorized_official_telephone_number": "636-541-1584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "006018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoenster@directaddress.net",
            "affiliation": "N",
            "address_1": "150 S Coronado Dr Ste 110",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856356352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Charles Jackson, PTA
• Dawn Marie Jacobson, RN
• Debbie Jacques, N.M.D.
• James a Griggs Cochise Womens Care PLLC
• James B. Leavitt D.M.D., P.C.
• Jill Nmi Japan, RN
• Chantelle Jasso, RN
• Jaya Hari Maddur MD PC
• Jeffrey Wilde MD PLLC
• Jeffrey Wilde MD PLLC

• Plastic and Reconstructive Surgery Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.