Individual provider Active NPI

Michael Moloney, M.D.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1962515247
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.081984 Issued in OH
Practice address
1975 Guilford Rd
Columbus, OH 43221-4300
Phone
(614) 724-6362
Fax
(614) 724-6329
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.081984 OH Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.081984 OH

Addresses

Primary practice location

1975 Guilford Rd
Columbus, OH 43221-4300

Mailing address

750 Cross Pointe Rd
Suite C
Gahanna, OH 43230-6691
Phone (614) 552-0061

Other identifiers 1

IdentifierTypeStateIssuer
2380543MedicaidOH

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.081984OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultant Anesthesiologists Inc PastSince Sep 1, 2020 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1962515247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD",
            "address_2": "SUITE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306691",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GUILFORD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214300",
            "telephone_number": "614-724-6362",
            "fax_number": "614-724-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLONEY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.081984",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.081984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.