NPIMap

Individual provider Active NPI

David Richard Moyer, MD

  • Family Medicine Physician
  • Virginia, MN
National Provider Identifier
1912958448
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44580 Issued in MN
Practice address
901 9TH St N
Essentia Health Virginia Medical Arts
Virginia, MN 55792-2325
Phone
(218) 748-7750
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44580 MN Primary

Addresses

Primary practice location

901 9TH St N
Essentia Health Virginia Medical Arts
Virginia, MN 55792-2325

Mailing address

901 9TH St N
Essentia Health Virginia Medical Arts
Virginia, MN 55792-2325
Phone (218) 748-7750

Other identifiers 2

IdentifierTypeStateIssuer
150575100MedicaidMN
1912958448MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000093 MN Practitioner - Family PracticePractitioner - Emergency Medicine 6305740465 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Minnesota Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Falls Memorial Hospital AssociationGroup PAC ID 1951365998, 18 clinicians

Practice addresses (Care Compare)

1400 Hwy 71
International Falls, MN 56649-2154
Phone (218) 283-4481

Hospital & facility affiliations

  • Sanford Bemidji Hospice Hospice, Bemidji, MN, CCN 241511
  • Rainy Lake Medical Center Hospital, International Falls, MN, CCN 241322
  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • Good Samaritan Society - International Falls Nursing home, International Falls, MN, CCN 245318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3906NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Medical Center Current Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Dec 27, 2016 Accepting new patients
Altru Health System CurrentSince Dec 27, 2016 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Essentia Health Virginia, LLC Past Accepting new patients
Center for Psychiatric Care PastSince Aug 28, 2000 Accepting new patients

Locations

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1912958448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 9TH ST N",
            "address_2": "ESSENTIA HEALTH VIRGINIA MEDICAL ARTS",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922325",
            "telephone_number": "218-748-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 9TH ST N",
            "address_2": "ESSENTIA HEALTH VIRGINIA MEDICAL ARTS",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922325",
            "telephone_number": "218-748-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150575100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912958448",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.