Individual provider Active NPI

Farhana Rahman Moyen, M.D.

  • Internal Medicine Physician
  • Barberton, OH
National Provider Identifier
1992950034
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75238 Issued in OH
Practice address
201 5TH St NE
Suite 14
Barberton, OH 44203-3017
Phone
(330) 615-4158
Fax
(330) 615-4157
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75238 OH Primary

Addresses

Primary practice location

201 5TH St NE
Suite 14
Barberton, OH 44203-3017

Mailing address

497 Weston CT
Copley
Copley, OH 44321-3030
Phone (330) 668-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000566 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0244419224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75238OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1992950034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WESTON CT",
            "address_2": "COPLEY",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443213030",
            "telephone_number": "330-668-2123",
            "fax_number": "330-668-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "SUITE 14",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-615-4158",
            "fax_number": "330-615-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYEN",
        "first_name": "FARHANA",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "75238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.