Moreland Ear Nose & Throat Group LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

15625 Issued in WI

Legal business name

MORELAND EAR NOSE & THROAT GROUP LTD

Practice address

1111 Delafield St
Suite 102
Waukesha, WI 53188-3417

Phone

(262) 547-1614

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Patrick Belson, M.D.

Title

Otolaryngologist

Phone

(262) 547-1614

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Banaszynski, AUD, CCC-A

  • Audiologist
  • Waukesha, WI
  • NPI 1184455354
  Medicare reassignment Care Compare group NPD
• Julie J. Fournier, AU.D., CCC-A

  • Audiologist
  • Waukesha, WI
  • NPI 1568553998
  Medicare reassignment Care Compare group NPD
• Mary C Fox, MD

  • Otolaryngology Physician
  • Waukesha, WI
  • NPI 1770558462
  Medicare reassignment Care Compare group NPD
• Tracey A Irene, AU.D.

  • Audiologist
  • Waukesha, WI
  • NPI 1699813097
  Medicare reassignment Care Compare group NPD
• Ryan Joseph Lau, MD

  • Otolaryngology Physician
  • Waukesha, WI
  • NPI 1205455102
  Medicare reassignment Care Compare group NPD
• Claire Milligan

  • Audiologist
  • Waukesha, WI
  • NPI 1396431805
  Medicare reassignment Care Compare group NPD
• Victoria Lynn Steinhoff, AU.D., CCC-A

  • Audiologist
  • Waukesha, WI
  • NPI 1124693346
  Medicare reassignment Care Compare group NPD
• Matthew Lee Ubell, M.D.

  • Otolaryngology Physician
  • Waukesha, WI
  • NPI 1407939523
  Medicare reassignment Care Compare group NPD
• Zachary Calnan Fridirici

  • Facial Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1710229893

  Single Specialty, WI

  Medicare reassignment Care Compare group NPD
• Heather C Murphy, MD

  • Otolaryngology Physician
  • Aspen, CO
  • NPI 1013024439

  WI

  Medicare reassignment Care Compare group NPD
• Edward G Kass, MD

  • Otolaryngology Physician
  • Waukesha, WI
  • NPI 1225003932
  Medicare reassignment Care Compare group
• Jamie Nichols, PA

  • Physician Assistant
  • Waukesha, WI
  • NPI 1295515724
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1861464182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-547-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-547-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND EAR NOSE & THROAT GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "262-547-1614",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "15625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31224500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. EDWARD KASS  SS#",
            "identifier": "390708553",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31213300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WILLIAM DARLING   SS#",
            "identifier": "396425705",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31837100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MARY FOX SS#",
            "identifier": "399564070",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RONALD DARLING",
            "identifier": "398403074",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34012700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. THOMAS BELSON",
            "identifier": "391303765",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenore Moore, MS/CCC-SLP
• Lisa Beth Moore, LPC-IT
• Jigeesha Mopidevi, DDS
• Cailey Moran
• Kimberly Lyn Moravec
• Moreland Family Medicine Associates, S.C.
• Moreland Medical Center (Moreland Medical Center Laboratory)
• Moreland Medical Center X-Ray (Moreland Medical X-Ray)
• Moreland Medical Laboratory, LLC (Moreland Medical Laboratory)
• Moreland OB-GYN Associates S C

• Specialist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.