Individual provider Active NPI

Colin Stuart Moorhead, M.D.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1518959519
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-077486 Issued in OH
Practice address
470 White Pond Dr
#100
Akron, OH 44320-1185
Phone
(330) 869-8530
Fax
(330) 869-8539
NPI assigned
Aug 17, 2005
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-077486 OH Primary

Addresses

Primary practice location

470 White Pond Dr
#100
Akron, OH 44320-1185

Mailing address

470 White Pond Dr
#100
Akron, OH 44320-1185
Phone (330) 869-8530

Other identifiers 4

IdentifierTypeStateIssuer
2269129MedicaidOH
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000384 OH Practitioner - Internal Medicine 8729048251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Ohio Medical Specialists IncGroup PAC ID 7810957347, 3 clinicians

Practice addresses (Care Compare)

470 White Pond Dr
Suite 100
Akron, OH 44320-1185
Phone (330) 869-8530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-077486OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1518959519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR",
            "address_2": "#100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR",
            "address_2": "#100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "COLIN",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-077486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269129",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP  MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP  MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.