Miriam Moosnick, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007970 Issued in FL

Practice address

7711 Ewing Blvd
Florence, KY 41042-7533

Phone

(859) 282-4480

Fax

(859) 282-0297

NPI assigned

Jul 14, 2005

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Celebration Urgent Care Center PLLC

  • Clinic/Center
  • Celebration, FL
  • NPI 1326214909
  NPD (past)
• Hunter'S Creek Urgent Care Center

  • Clinic/Center
  • Orlando, FL
  • NPI 1215123518
  NPD (past)
• Medical Office Consultants, Inc.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1689875882
  NPD (past)
• Pine Castle Urgent Care Center PLLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1982880613
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1972502722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202213",
            "telephone_number": "513-861-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 EWING BLVD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427533",
            "telephone_number": "859-282-4480",
            "fax_number": "859-282-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSNICK",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Moore, DMD
• Brian Anthony Moore, D.M.D.
• Laura Matthys Moore, MD
• Lindsey Moore, M.ED.
• Martin Joseph Moore, DMD
• Hannah Elaine Morehead
• Emily L Morin, LPCA
• Constance Morris, LCSW
• James Michael Morrow, D.P.M.
• Mortenson Family Dental Center-Florence,PLLC

• Family Medicine Physician in Florence, KY
• Providers in Florence, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.

Verify at the official NPI Registry.