Ronald J Moeller, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Algona, IA

NPI 1619992245 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619992245
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
20066 (IA)
Practice address
1519 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-7714
Fax
(515) 295-4505
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20066IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20066 IA Yes

Addresses

Primary practice location

1519 S Phillips St
Algona, IA 50511-3649

Mailing address

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-7714

Other providers in Algona, IA

All providers in Algona, IA · Obstetrics & Gynecology Physician in Iowa

Sources for this page

Verify at the official NPI Registry.