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Contact Information

MICHAEL J MOULTON, MD
988102 NEBRASKA MEDICAL CENTER
OMAHA, NE68198-8102
 Phone: 402-559-9800
 Fax: 402-559-7929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL J MOULTON · (Male)

NPI Number 1710999024
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 10/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 34904
  • AZ Medicaid 124508
  • NE Medicaid 10026059800
  • AZ Other P00439640 RAILROAD MEDICARE
Hospital affiliation(s)
  • BELLEVUE MEDICAL CENTER - (Acute Care)
    2500 BELLEVUE MEDICAL CENTER DR
    BELLEVUE, NE 68123
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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