Tyler Caphton Moffett, M.D.

Individual provider Active NPI Hospitalist Physician · Anchorage, AK

NPI 1902817869 · NPPES record last updated Apr 26, 2019

Key facts

NPI
1902817869
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
MEDS3968 (AK)
Practice address
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone
(907) 257-4700
Fax
(907) 580-2090
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32612WAMDPulmonary Disease Physician

Interoperability endpoints

  • Direct secure messaging: tyler.moffett.1@14977.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MEDS3968 AK Yes
Internal Medicine Physician 207R00000X 3968 AK
Internal Medicine Physician 207R00000X MD32612 WA
Pulmonary Disease Physician 207RP1001X MD32612 WA
Pulmonary Disease Physician 207RP1001X 3968 AK

Addresses

Primary practice location

1201 N Muldoon Rd
Anchorage, AK 99504-6104

Mailing address

37578 Captains Court Cir
Kenai, AK 99611-8794
Phone (907) 395-0443

Other providers in Anchorage, AK

All providers in Anchorage, AK · Hospitalist Physician in Alaska

Sources for this page

Verify at the official NPI Registry.