Leo Moysaenko, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35052898 Issued in OH

Practice address

33001 Solon Rd
Solon, OH 44139-2839

Phone

(440) 349-2516

NPI assigned

Jun 9, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  NPD
• Oscar Nicholson Jr MD Inc

  • Surgery Physician
  • Cleveland Heights, OH
  • NPI 1144491200
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851332944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W RIDGEWOOD DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33001 SOLON RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392839",
            "telephone_number": "440-349-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYSAENKO",
        "first_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35052898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR-GA",
            "identifier": "P00222425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Montgomery, PHARMD
• Phyllis Moore
• Andrea Moskowitz
• Kevin Bryant Moss
• Sonya Movassaghi, D.M.D.
• Mr Home Care of Cleveland Inc
• Nicole Mueller
• Multimodal Therapy Institute,Inc
• Karen B Murray, OD
• Thomas Murtaugh, DC

• Emergency Medicine Physician in Solon, OH
• Providers in Solon, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.