Joseph S Mooney, M.D.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

10309 Issued in MS

Practice address

201 S Railroad Ave
Brookhaven, MS 39601-3331

Phone

(601) 835-0077

Fax

(601) 835-0095

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Brookhaven Ear, Nose & Throat PA

  • Otolaryngology Physician
  • Brookhaven, MS
  • NPI 1225152580
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1427068659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S RAILROAD AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013331",
            "telephone_number": "601-835-0077",
            "fax_number": "601-835-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S RAILROAD AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013331",
            "telephone_number": "601-835-0077",
            "fax_number": "601-835-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MS",
            "license": "10309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124769",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi State Department of Health
• Haley Mitchell, FNP-C
• Dara E Moak, ATC
• Charles Sherwood Mobley, D.C.
• Ramiro A Montalvo Jr., M.D.
• Daniel Moore, NURSE PRACTITIONER
• Darlene Moore
• Mallory Elyse Mowdy, NP-C
• Ms State Hospital Crisis Intervention Center-Brookhaven
• Brittany Griffin Mullins, NP-C

• Exclusive Provider Organization in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Exclusive Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.