Organization Active NPI

Robert L. Moesinger, MD, a Professional Corp

  • Otolaryngology Physician
  • Ogden, UT
National Provider Identifier
1881622967
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
151175-1205 Issued in UT
Legal business name
ROBERT L. MOESINGER, MD, A PROFESSIONAL CORP
Practice address
3955 Harrison Blvd Ste U6
Ogden, UT 84403-2399
Phone
(801) 393-5324
Fax
(801) 393-7780
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Robert Lionel Moesinger, MD
Title
Owner
Phone
(801) 393-5324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 151175-1205 UT Primary

Addresses

Primary practice location

3955 Harrison Blvd Ste U6
Ogden, UT 84403-2399

Mailing address

3955 Harrison Blvd Ste U6
Ogden, UT 84403-2399
Phone (801) 393-5324

Other identifiers 1

IdentifierTypeStateIssuer
528505626001MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1881622967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD STE U6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032399",
            "telephone_number": "801-393-5324",
            "fax_number": "801-393-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD STE U6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032399",
            "telephone_number": "801-393-5324",
            "fax_number": "801-393-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. MOESINGER, MD, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "MOESINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-393-5324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "151175-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528505626001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.