Active NPI
Huey H Moak, MD
- Family Medicine Physician
- Ferriday, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 018269
- Practice address
- 112 Serio Blvd
Ferriday, LA 71334 - Phone
- (318) 757-3696
- Fax
- (318) 757-8099
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 018269 | LA | Primary |
Addresses
Primary practice location
112 Serio Blvd
Ferriday, LA 71334
Mailing address
112 Serio Blvd
PO Box 1787
Ferriday, LA 71334
Phone (318) 757-3696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1360198 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160406000309 | LA | Practitioner - Family Practice | 9830223288 |
Reassigns benefits to 1 organization Practice locations: Ferriday, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018269 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catahoula Parish Hospital District No 2 | Current | Accepting new patients | |
| Catahoula Parish Hospital District No 2 | Current | Accepting new patients | |
| Catahoula Parish Hospital District No 2 | Current | Accepting new patients | |
| Catahoula Parish Hospital District No 2 | Past | Accepting new patients |
Locations
100 Serio Blvd
Ferriday, LA 71334
Phone (318) 389-5727
112 Serio Blvd
#I
Ferriday, LA 71334
Phone (318) 757-3696
112 Serio Blvd
Ferriday, LA 71334
Phone (318) 389-5727
307 Chisum St
Sicily Island, LA 71368
Phone (318) 389-5727
Interoperability endpoints
- huey.moak.p1@direct.rfcatahoulaparish1.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Sicily Island, LA
- NPI 1770622631
LA
-
- Federally Qualified Health Center (FQHC)
- Ferriday, LA
- NPI 1245097492
-
- Federally Qualified Health Center (FQHC)
- Ferriday, LA
- NPI 1891499356
-
- Federally Qualified Health Center (FQHC)
- Ferriday, LA
- NPI 1861531014
-
- Federally Qualified Health Center (FQHC)
- Jonesville, LA
- NPI 1245629260
-
- Federally Qualified Health Center (FQHC)
- Wisner, LA
- NPI 1386784569
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ferriday, LA
- NPI 1144227935
Hospital
-
- Home Health Agency
- Vidalia, LA
- NPI 1134167349
-
- Home Health Agency
- Jonesville, LA
- NPI 1922046226
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catahoula Parish Hospital District No 2
Practice addresses (Care Compare)
100 Serio Blvd
Ferriday, LA 71334-2013
Phone (318) 757-6969
307 Chisum St
Sicily Island, LA 71368-4807
Phone (318) 389-5727
900 Foster St
Jonesville, LA 71343-2781
Phone (318) 339-7265
Hospital & facility affiliations
- Intensive Home Health Care, Inc
- Louisiana Homecare of Miss-Lou
- Riverland Medical Center
- Camelot Leisure Living
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1992776835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SERIO BLVD",
"address_2": "PO BOX 1787",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "71334",
"telephone_number": "318-757-3696",
"fax_number": "318-757-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SERIO BLVD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "71334",
"telephone_number": "318-757-3696",
"fax_number": "318-757-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAK",
"first_name": "HUEY",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "018269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1360198",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.
- 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.