Moon Lake Emergency Physicians LLC
NPI 1831561455ActiveOrganization· Emergency Medicine· Phenix City, AL
Emergency Medicine in Phenix City, Alabama, registered in NPPES in October 2015. The authorized official on file is Kathleen Kondas, Officer.
Overview
| NPI | 1831561455 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2015 |
| Last updated in NPPES | Sep 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Emergency Medicine providers in Phenix City
- 1639330632
- 1245575471
- 1629609631
- 1871510644
- 1952322687