Hector D Molina-Vicenty, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

R9H96 Issued in MO

Practice address

915 N Grand Blvd # 111JC
Saint Louis, MO 63106-1621

Phone

(314) 286-6356

Fax

(314) 286-6442

NPI assigned

Apr 19, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609831171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD # 111JC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-286-6356",
            "fax_number": "314-286-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD # 111JC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-286-6356",
            "fax_number": "314-286-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA-VICENTY",
        "first_name": "HECTOR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "R9H96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208494005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modena Jean Molen, MA CCC SLP
• Erin Moles
• Kimberly A. Moleski Powderly, CRNA
• Amy Moleski
• Kelle H Moley, MD
• Camilo Molina, MD
• Jessica Rene Molinari, FNP-BC
• Amanda Lee Molitor, ACNP
• John William Molitor Jr., AGACNP
• James Michael Moll, LCSW

• Rheumatology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Rheumatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.