Holy Family Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

35062607-M Issued in OH

Legal business name

HOLY FAMILY PEDIATRICS

Practice address

359 Forest Ave
Suite 106
Dayton, OH 45405-4563

Phone

(937) 586-9665

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Anthony Moell, M.D.NPI 1689659880

Title

Owner

Phone

(937) 586-9665

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael A Moell, MD

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1689659880
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1871716258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 FOREST AVE",
            "address_2": "SUITE 106",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054563",
            "telephone_number": "937-586-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 FOREST AVE",
            "address_2": "SUITE 106",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054563",
            "telephone_number": "937-586-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MOELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-586-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35062607-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748736",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Holtgreven, L.P.N.
• Angela Holthaus, FNP-BC
• Julia Ann Holthaus, LPN
• Connor Holton
• Robert Michael Holtrup, PA-C
• Holy Family Prenatal Care, LLC
• Brittanie Holzfaster, MSW, LISW-S
• Brent Anthony Homan, R.PH.
• Garret Homan, NURSE PRACTITIONER
• Home Care Assistance of Dayton

• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.