JAMES HERMAN MOLLER M.D. NPI 1891731907

NPI Information

NPI: 1891731907
Provider Name: JAMES HERMAN MOLLER, M.D.
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
420 DELAWARE ST SE,
UNIVERSITY OF MINNESOTA PHYSICIANS MMC 94
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-2755
Get Directions

James Herman Moller, M.D. is a pediatric critical care medicine pediatrics in Minneapolis, MN. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. James Herman Moller, M.D. NPI is 1891731907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 DELAWARE ST SE,
UNIVERSITY OF MINNESOTA PHYSICIANS MMC 94
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-2755

The enumeration date for this NPI number is 6/20/2006 and was last updated on 3/18/2016.

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	208000000X	Pediatrics		17125	MINNESOTA	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	17125	MINNESOTA	No
3	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	17125	MINNESOTA	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	2T299MO	OTHER	MINNESOTA	BCBS-MN
2	370001541	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE
3	1009248	OTHER		PREFERRED ONE
4	25-21110	OTHER		MEDICA CHOICE
5	HP21998	OTHER		HEALTHPARTNERS
6	A94626	MEDICARE UPIN
7	100924	OTHER		UCARE
8	25-00282	OTHER		MEDICA PRIMARY
9	A064	OTHER		CHAMPUS/TRICARE
10	0971549	MEDICAID	MINNESOTA
11	335772400	MEDICAID	MINNESOTA
12	0047141	MEDICAID	MINNESOTA
13	0251258	MEDICAID	OHIO
14	604478	OTHER	MINNESOTA	ARAZ

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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