Dr. Katie Maree Moynihan
MD | Pediatric Critical Care Medicine | Female
Dr. Katie Maree Moynihan, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Katie Maree Moynihan is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at
617-712-6121.
Dr. Katie Maree Moynihan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katie Maree Moynihan is
1699297374 which was assigned by NPPES on 13 Jul, 2017 and it was last updated on 21 Jun, 2019.
Dr. Katie Maree Moynihan license number is
276698 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Massachusetts.
Dr. Katie Maree Moynihan is 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.
Complete Profile:
Dr. Katie Maree Moynihan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Katie Maree Moynihan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Katie Maree Moynihan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-712-6121 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699297374 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jul, 2017 |
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| Last Updated On : | 21 Jun, 2019 |
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Medicare Participation:
Dr. Katie Maree Moynihan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0840549457 |
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| Medicare Enrollment ID : | I20180815001333 |
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| Primary Specialty : | Cardiovascular Disease (cardiology) |
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| Medical School : | Other |
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| Graduation Year : | 2006 |
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| Accepts Medicare? | Yes. Dr. Katie Maree Moynihan accepts medicare insurance. |
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Group Practice Association:
Dr. Katie Maree Moynihan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Katie Maree Moynihan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Boston Childrens Heart Foundation Inc | 8729071675 | 76 | 300 Longwood Ave
Boston, MA - 021155724
Ph: 6173556000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katie Maree Moynihan are as mentioned. Primary taxonomy code for Dr. Katie Maree Moynihan, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | No | 272208 | MA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 276698 | MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4 Hagar St Apt 2
Jamaica Plain, MA, 02130-4022
United States |
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| Phone Number : | 617-712-6121 |
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Business Location:
Patients can refer following map for directions to
Dr. Katie Maree Moynihan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.