Jeffery J Moledor, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-04-6701 Issued in OH

Practice address

1930 Crown Park CT
Columbus, OH 43235-2402

Phone

(614) 457-1793

Fax

(614) 457-4051

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1992788673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 CROWN PARK CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352402",
            "telephone_number": "614-457-1793",
            "fax_number": "614-457-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 CROWN PARK CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352402",
            "telephone_number": "614-457-1793",
            "fax_number": "614-457-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLEDOR",
        "first_name": "JEFFERY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-04-6701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina R Mokhtari, M.D.
• Taylor Mokma, LISW-S
• Molah Healthcare Agency, LLC
• Molah Home Health Agency, LLC
• Maria Cristina Molcut, D.D.S
• Julianne U Moledor, M.D.
• James Patrick Moley, MD
• Molina Healthcare of Ohio
• Molina Pathways of Ohio LLC
• Anisia Molina

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.