Zebedee Moultry

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

540 Hilbish Ave
Akron, OH 44312-2251

Phone

(330) 328-3240

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1871180372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HILBISH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122251",
            "telephone_number": "330-328-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HILBISH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122251",
            "telephone_number": "330-328-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTRY",
        "first_name": "ZEBEDEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7718964",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AKRON",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Hilbish Ave",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443122251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melani L Mottice, CDCA
• Quinten Emerson Mottice, SW-TRNE, CDCA
• Joseph E Motycka
• Mathew Clay Moughiman, D.P.T.
• Angela Kay Moulton, MSN, CPNP
• Racheal Mounts, LCDCIII
• Russell A Mounts, PA-C
• Jana Movsesian, LPCC, RN, LICDC
• Eugene M Mowad, M.D.
• Noah Mowbray, DO

• Contractor in Akron, OH
• Providers in Akron, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.