Michael Anthony Moclock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD048533L Issued in PA

Practice address

239 S Mountain Blvd
Suite 600
Mountain Top, PA 18707-1911

Phone

(570) 474-9300

Fax

(570) 474-0962

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1578674206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S MOUNTAIN BLVD",
            "address_2": "SUITE 600",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071911",
            "telephone_number": "570-474-9300",
            "fax_number": "570-474-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCLOCK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD048533L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001467866",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer M McHugh, MS, CCC-SLP
• Kaitlin Frances McLean
• Sandeep Mehrok, M.D.
• Saige Miller, PT, DPT
• Taylor Elizabeth Mitchell, CRNP
• Ann Marie Morreale-Lafoca, LCSW
• Mountain Chiropractic PC (Herman Chiropractic of Mountaintop)
• Mountain Top Rehabilitation and Healthcare LLC
• Mountain Top Rehabilitation Center
• Mountaintop Chiropractic, Inc

• Family Medicine Physician in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.