Active NPI
John Fredrick Moe, MD, MPH
- Family Medicine Physician
- Noblesville, IN
National Provider Identifier
1619230554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01021541A
- Practice address
- 717 Saint James PL
Noblesville, IN 46060-4235 - Phone
- (317) 770-9316
- NPI assigned
- Jun 15, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01021541A | IN | Primary |
Addresses
Primary practice location
717 Saint James PL
Noblesville, IN 46060-4235
Mailing address
717 Saint James PL
Noblesville, IN 46060-4235
Phone (317) 770-9316
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01021541A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1619230554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SAINT JAMES PL",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604235",
"telephone_number": "317-770-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SAINT JAMES PL",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604235",
"telephone_number": "317-770-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOE",
"first_name": "JOHN",
"middle_name": "FREDRICK",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-15",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01021541A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- 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.