MARY GRETCHEN MOOERS MD NPI 1609823889

NPI Information

NPI: 1609823889
Provider Name: MARY GRETCHEN MOOERS, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
324 TENTH AVE
SUITE # 160
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 408-5151
Get Directions

Mary Gretchen Mooers, MD is an infectious disease internal medicine in Salt Lake City, UT. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Mary Gretchen Mooers, MD NPI is 1609823889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

324 TENTH AVE
SUITE # 160
SALT LAKE CITY, UT
ZIP 84103-853
Phone: (801) 408-5151
Fax: (801) 408-3598

The NPI 1609823889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease	173770-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	870623071M01	OTHER	UTAH	EDUCATORS MUTUAL #
2	274	OTHER	UTAH	TRICARE #
3	357645	OTHER	UTAH	MOLINA #
4	2099000	MEDICAID	UTAH
5	9200054	OTHER	UTAH	UHC
6	2748	OTHER	UTAH	DESERET MUTUAL
7	224999	OTHER	UTAH	ALTIUS PROVIDER #
8	00558	OTHER	UTAH	IHC
9	71116	OTHER	UTAH	PEHP #
10	E72888	MEDICARE UPIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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