Active NPI
Amy Marie Pangalangan Moler, MD
- Diagnostic Radiology Physician
- Millersburg, OH
National Provider Identifier
1457696908
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective May 18, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35.076040
- Practice address
- 981 Wooster Rd
Millersburg, OH 44654-1536 - Phone
- (330) 674-1015
- NPI assigned
- Dec 10, 2012
- Last updated
- Dec 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35.076040 | OH | Primary |
Addresses
Primary practice location
981 Wooster Rd
Millersburg, OH 44654-1536
Mailing address
1125 Hooverview Dr
Westerville, OH 43082-7439
Phone (614) 865-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.076040 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physicians of Ohio, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Lima, OH
- NPI 1497715361
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386675106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1457696908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 HOOVERVIEW DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827439",
"telephone_number": "614-865-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541536",
"telephone_number": "330-674-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGALANGAN MOLER",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.076040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.