Active NPI
Robert L. Moesinger, MD, a Professional Corp
- Otolaryngology Physician
- Ogden, UT
National Provider Identifier
1881622967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 151175-1205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528505626001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI 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.