DRS Moulton & Parsons MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DRS MOULTON & PARSONS MD

Practice address

502 2ND Ave S
St James, MN 56081

Phone

(507) 375-3141

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith Buell Moulton, MD

Title

Partner

Phone

(507) 375-3141

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679625628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND AVE S",
            "city": "ST JAMES",
            "state": "MN",
            "postal_code": "56081",
            "telephone_number": "507-375-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND AVE S",
            "city": "ST JAMES",
            "state": "MN",
            "postal_code": "56081",
            "telephone_number": "507-375-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MOULTON & PARSONS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "BUELL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "507-375-3141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "42401MO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0120470",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "113049",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Davila, C.H.W.
• Angelica Maria De Acosta, CHW
• Paul Dorn, PTA
• Dr Steven Jeppson, Optometrist, PA
• Dr. T.a. Pinke, Inc
• Eagle Lake Family Dentistry, PA
• Lindy C Eatwell, DO
• Darci Lee Eigenberg, R.T (R)
• Kyle Robert Elliott, NP
• Bridget Sue Forstrom, O.D.

• Family Medicine Physician in St James, MN
• Providers in St James, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.