Douglas James Moeller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01029515A Issued in IN

Practice address

5 Country View Rd
Malvern, PA 19355-1421

Phone

(610) 993-4333

NPI assigned

May 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881809770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604625",
            "telephone_number": "610-783-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COUNTRY VIEW RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551421",
            "telephone_number": "610-993-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01029515A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Roy Miller, DPM
• William John Mills, A.T.C., C.S.C.S.
• Alyssa Minnick, PHD
• Margaret Gosse Miros, LPC
• Kylee Mitchell, PT, DPT
• Moment2Gather LLC
• Rose D Montgomery, MSW, LCSW
• Moore Eye Care, P.C.
• Juan Carlos Mora, D.M.D
• Robert Frank Morello, M.D.

• Internal Medicine Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.