Active NPI
Josiah Moulton, D.O.
- Family Medicine Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T6652
- Practice address
- 1005 N Eastman Rd
Longview, TX 75601-4231 - Phone
- (903) 247-8262
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11505690-1205 | UT | |
| Family Medicine Physician | 207Q00000X | 125.063892 | IL | |
| Adult Medicine Physician | 207QA0505X | 1294 | NE | |
| Family Medicine Physician | 207Q00000X | T6652 | TX | Primary |
Addresses
Primary practice location
1005 N Eastman Rd
Longview, TX 75601-4231
Mailing address
1005 N Eastman Rd
Longview, TX 75601-4231
Phone (903) 247-8262
Other practice location 1
905 N 1000 W
Tremonton, UT 84337-9356
Phone (435) 207-4500
Other practice location 2
3712 Scotsdale Dr
Swansea, IL 62226-7589
Phone (801) 310-7145
Other practice location 3
7321 Balmer St
Hill AFB, UT 84056-5012
Phone (801) 586-9596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1294 | NE | MD | Registered Dietitian |
| 125.063892 | IL | MD | Family Medicine Physician |
| T6652 | TX | MD | Family Medicine Physician |
| 11505690-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| East Texas Medical Services PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
Interoperability endpoints
- josiah.moulton@206928471916548.direct.elationemr.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Mt Pleasant, TX
- NPI 1972292282
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Endocrinology, Diabetes & Metabolism Physician
- Provo, UT
- NPI 1659672459
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1942640875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N EASTMAN RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014231",
"telephone_number": "903-247-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N EASTMAN RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014231",
"telephone_number": "903-247-8262"
}
],
"practiceLocations": [
{
"address_1": "905 N 1000 W",
"address_purpose": "LOCATION",
"city": "Tremonton",
"state": "UT",
"postal_code": "843379356",
"country_code": "US",
"telephone_number": "435-207-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3712 Scotsdale Dr",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622267589",
"country_code": "US",
"telephone_number": "801-310-7145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7321 Balmer St",
"address_purpose": "LOCATION",
"city": "Hill AFB",
"state": "UT",
"postal_code": "840565012",
"country_code": "US",
"telephone_number": "801-586-9596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOULTON",
"first_name": "JOSIAH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "11505690-1205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.063892",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NE",
"license": "1294",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T6652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.