MARY GRETCHEN MOOERS MD NPI 1609823889

NPI Information

  • NPI: 1609823889
  • Provider Name: MARY GRETCHEN MOOERS, MD
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 324 TENTH AVE
    SUITE # 160
    SALT LAKE CITY, UT
    ZIP 84103
  • Phone: (801) 408-5151

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NPI Details

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
1207RI0200XInternal MedicineInfectious Disease173770-1205UTAHYes

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
1870623071M01OTHERUTAHEDUCATORS MUTUAL #
2274OTHERUTAHTRICARE #
3357645OTHERUTAHMOLINA #
42099000MEDICAIDUTAH
59200054OTHERUTAHUHC
62748OTHERUTAHDESERET MUTUAL
7224999OTHERUTAHALTIUS PROVIDER #
800558OTHERUTAHIHC
971116OTHERUTAHPEHP #
10E72888MEDICARE UPINUTAH

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: 11/21/2025

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