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DR. GARY STUART MOAK M.D. NPI 1760478473


NPI Information

NPI: 1760478473
Provider Name: DR. GARY STUART MOAK, M.D.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DARTMOUTH HITCHCOCK - PSYCHIATRY
LEBANON, NH
ZIP 03756
Phone: (603) 650-6150
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DR. Gary Stuart Moak, M.D. is a geriatric psychiatry psychiatry neurology in Lebanon, NH with 42 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Gary Stuart Moak, M.D. NPI is 1760478473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:1982

The provider's business location address is:

1 MEDICAL CENTER DR
DARTMOUTH HITCHCOCK - PSYCHIATRY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-6150

The NPI 1760478473 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 9/27/2005 and was last updated on 4/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry56109MASSACHUSETTSNo
22084P0805XPsychiatry & NeurologyGeriatric Psychiatry56109MASSACHUSETTSNo
32084P0805XPsychiatry & NeurologyGeriatric Psychiatry8028NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J05608OTHERMASSACHUSETTSBLUE SHIELD
256109OTHERMASSACHUSETTSMEDICAL LICENSE
3A58480MEDICARE UPIN
43006816MEDICAIDMASSACHUSETTS
5260009932MEDICARE PINMASSACHUSETTS
6J05608MEDICARE PINMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.