Moudcaer S Mounajjed, DO

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4928 Issued in OH

Practice address

8025 Baymeadows Cir E Apt 304
Jacksonville, FL 32256-7773

Phone

(814) 737-8871

NPI assigned

Mar 7, 2025

Sex

Male

Sole proprietor

Yes

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 Osteopathy

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1841098464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 BAYMEADOWS CIR E APT 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 BAYMEADOWS CIR E APT 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567773",
            "telephone_number": "814-737-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNAJJED",
        "first_name": "MOUDCAER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "4928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Motycka, PA-C
• Kaitlyn Motyka, LAT, ATC
• Steven Theodore Mougeot, PHARMD
• Alyssa Kay Moulds, CAA
• Tiffany Nicole Moulterie, D.C
• Nita Mounce
• Mount Gilead
• Robert David Mouradian, MD
• Brianna Mourao
• Taylor Faith Harbison Mourao, MSN, AGACNP-BC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.