Provider Demographics
NPI:1295727618
Name:MOSER, NEAL J (MD)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:J
Last Name:MOSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-757-2927
Mailing Address - Fax:859-341-0203
Practice Address - Street 1:651 CENTRE VIEW BLVD
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5423
Practice Address - Country:US
Practice Address - Phone:859-757-2927
Practice Address - Fax:859-341-0203
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063729A207RP1001X, 207RC0200X
KY28225207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00935618OtherRAIL ROAD MEDICARE
IN000000521452OtherANTHEM PROVIDER NUMBER
KY1098072OtherPASSPORT
OH2466504Medicaid
KY637481OtherAETNA
KY021036000OtherFEDERAL BLACK LUNG
IN200861780Medicaid
KY64282254Medicaid
KY000000074630OtherANTHEM
KY0420750OtherUNITED HEALTHCARE
KY3400173Medicare PIN
KYP00935618OtherRAIL ROAD MEDICARE
KY110130551Medicare PIN
IN000000521452OtherANTHEM PROVIDER NUMBER
KY64282254Medicaid
KY021036000OtherFEDERAL BLACK LUNG
IN815490ZZZMedicare PIN
KY637481OtherAETNA
KY3313178Medicare PIN
INP00414694Medicare PIN