James B. Moffat, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

030859 Issued in PA

Practice address

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Phone

(610) 402-9099

Fax

(610) 402-9029

NPI assigned

Sep 30, 2005

Last updated

Mar 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Pennsylvania Endoscopy Center, LLCGroup PAC ID 4587994595, 14 clinicians

Nazareth Endoscopy Center, LLCGroup PAC ID 6002245776, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Eastern Pennsylvania Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1972153997

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Nazareth Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Easton, PA
  • NPI 1508400920

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anthracite Anesthesia Consultants, LLC

  • Certified Registered Nurse Anesthetist
  • Hamburg, PA
  • NPI 1366168353

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• College Heights Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1578525515
  Medicare reassignment NPD
• Lehigh Valley Anesthesia Services, P. C.

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
  • NPI 1730174731

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• College Heights Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1780686808
  NPD
• GSC Anesthesia

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1134718885

  Nurse Anesthetist, Certified Registered

  NPD
• Aaa Anesthesia Associates LLC

  • Anesthesiology Physician
  • Allentown, PA
  • NPI 1134620529

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Professional Anesthesia Services of Eastern Pennsylvania, P.C.

  • Certified Registered Nurse Anesthetist
  • Fogelsville, PA
  • NPI 1992776553

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1982691309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S CEDAR CREST BLVD",
            "address_2": "SUITE #301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036258",
            "telephone_number": "610-402-9099",
            "fax_number": "610-402-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-9099",
            "fax_number": "610-402-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "JAMES",
        "middle_name": "B.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "030859",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN235347L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHP CENTRAL",
            "identifier": "0531587",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019709850003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP. BLUE CROSS",
            "identifier": "0734755000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1544275",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0531587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "0531587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50010794",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "76108",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7790267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11803039",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Modesto
• Dilayla Modesto
• Jeslin George Mody, DNP, CRNA
• Satish K Mody, MD
• Brian Nyaboga Moenga
• Ahmed Ansary Moftah
• Oana G Moga
• Massouma Mohamedraza, PHARMD
• Mohammad K. Khan, M.D., LLC
• Tarannum Mohammadi, MD

• Certified Registered Nurse Anesthetist in Allentown, PA
• Providers in Allentown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.