Individual
SCOTT MOSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269834
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
054905
OH
367500000X
Certified Registered Nurse Anesthetist
28216927A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380302
ANTHEM
—
01
—
000000965298
ANTHEM PROVIDER NUMBER
IN
05
—
200457630
—
IN
05
—
2437572
—
OH
05
—
74010703
—
KY
Enumeration date
07/13/2005
Last updated
11/07/2018
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