Active NPI
Raymond W. Moy MD SC
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1740469873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21142
- Legal business name
- RAYMOND W. MOY MD SC
- Practice address
- 6917 W Oklahoma Ave
Milwaukee, WI 53219-2973 - Phone
- (414) 545-7245
- Fax
- (414) 545-3373
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Mokelke
- Title
- Billing
- Phone
- (414) 545-7245
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21142 | WI | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 21142 | WI | |
| Psychiatry Physician | 2084P0800X | 21142 | WI |
Addresses
Primary practice location
6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Mailing address
6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Phone (414) 545-7245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30254700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1740469873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532192973",
"telephone_number": "414-545-7245",
"fax_number": "414-545-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6917 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532192973",
"telephone_number": "414-545-7245",
"fax_number": "414-545-3373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND W. MOY MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "MOKELKE",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "414-545-7245"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WI",
"license": "21142",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WI",
"license": "21142",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "21142",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30254700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.