| John Nicholas Moustoukas, MD | |
| 2300 Western Ave, Manitowoc, WI 54220-3712 | |
| (920) 320-2436 | |
| Not Available | 
| Full Name | John Nicholas Moustoukas | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 2300 Western Ave, Manitowoc, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124317847 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01073262A (Indiana) | Secondary | 
| 207P00000X | Emergency Medicine | 036.134200 (Illinois) | Primary | 
| Entity Name | Baptist Health Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508269200 PECOS PAC ID: 5597867184 Enrollment ID: O20090527000129 | 
| Entity Name | North Indiana Emergency Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144691478 PECOS PAC ID: 5496064669 Enrollment ID: O20151029001047 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John Nicholas Moustoukas, MD 2325 N Wayne Ave, Chicago, IL 60614-3118 Ph: (504) 669-1233 | John Nicholas Moustoukas, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2436 | 
| Todd A Nelson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
| Guy A O'connor, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
| Robert Capello, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 Fax: 920-652-0115 | |
| James T Murphy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
| Steven G Chilinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 | |
| Steven Umhoefer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 |