Jonathan S Moulton, MD | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(513) 584-7355 | |
(513) 584-0431 |
Full Name | Jonathan S Moulton |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 234 Goodman St, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457391526 | NPI | - | NPPES |
300033840 | Other | OH | RAILROAD MEDICARE |
655268 | Other | OH | AETNA |
300289600 | Medicaid | WV | |
Q51867 | Medicaid | SC | |
200039000A | Medicaid | IN | |
1620980 | Other | OH | UHC |
000000014486 | Other | OH | ANTHEM |
64787112 | Medicaid | KY | |
0626675 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35-05-1867-M (Ohio) | Secondary |
2085N0700X | Radiology - Neuroradiology | 35.051867 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
West Chester Hospital | West chester, OH | Hospital |
Christ Hospital | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Entity Name | Children's Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
---|---|
Jonathan S Moulton, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 245-3107 | Jonathan S Moulton, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 584-7355 |
Preeyacha Pacharn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229 Phone: 513-636-4251 | |
Ifeoma Aguanunu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 135-844-3915 | |
Dr. Marc R Mosbacher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245 Phone: 513-751-2273 | |
Dr. Michael K. Shehata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Cheviot Rd, Cincinnati, OH 45247 Phone: 513-451-4033 Fax: 513-451-1356 | |
Dr. Rodney P Geier, MD Radiology Medicare: Medicare Enrolled Practice Location: 11140 Montgomery Rd, Cincinnati, OH 45249 Phone: 513-564-8520 Fax: 513-564-8539 | |
James M Meranus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-965-8041 Fax: 513-965-8091 | |
Doan Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Central Credentialing Ml 806, Cincinnati, OH 45219 Phone: 513-585-5508 Fax: 513-585-5511 |