Kenneth Moller, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

010262 Issued in ME

Practice address

430 Bath Rd
Suite 102
Brunswick, ME 04011-2656

Phone

(207) 442-0350

Fax

(207) 442-0355

NPI assigned

Mar 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Coastal Orthopedics & Sports Medicine,P.a.

  • Orthopaedic Surgery Physician
  • Brunswick, ME
  • NPI 1912009416
  NPD (past)
• Coastal Orthopedics & Sports Medicine,P.a.

  • Physical Therapist
  • Brunswick, ME
  • NPI 1952485765
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1649249129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BATH RD",
            "address_2": "SUITE 102",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112656",
            "telephone_number": "207-442-0350",
            "fax_number": "207-442-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BATH RD",
            "address_2": "SUITE 102",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112656",
            "telephone_number": "207-442-0350",
            "fax_number": "207-442-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "010262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Nelson Miller, M.S.,P.T.
• Pauline Karen Mills, MD
• Scott D Mills, MD
• Andrew Conan Miner, DC
• Richard Stieg Moll, DDS
• David A. Moltz, MD
• Christina Levesque Monroe, DPT
• Alain Montegut, MD
• Erin Moody, RDH
• Terry Anne Morgan, MST

• Orthopaedic Surgery Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.