MRS. SANDRA RENEE MOOG MS/CCC-SLP
NPI 1467625269
Speech-Language Pathologist in Milwaukee, WI
NPI Status: Active since April 12, 2008
- Individual
- Female
- Speech-Language Pathologist
About SANDRA MOOG
This page provides the complete NPI Profile along with additional information for Sandra Moog, a provider established in Milwaukee, Wisconsin with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1467625269 assigned on April 2008. The practitioner's primary taxonomy code is 235Z00000X with license number 2681-154 (WI). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1467625269
- Provider Name
- MRS. SANDRA RENEE MOOG MS/CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3540 S 43RD ST MILWAUKEE, WI 53220
- Location Phone
- (414) 328-2104
- Mailing Address
- 3456 S 35TH ST MILWAUKEE, WI 53215
- Mailing Phone
- (414) 333-4680
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-12-2008
- Last Update Date
- 04-12-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 2681-154
- License State
- WI
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42586400 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 6 | 2 | 5 | 2 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 2 | 10 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 2 + 1 + 0 + 2 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1467625269 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649312000 | MRS. RACHEL RUTHANN BURTON OTR Individual | Occupational Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2104 |
| 1942334883 | EHF SUNRISE OP, LLC Organization | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1871791376 | MRS. REBECCA FREDA CHUDADA M.S., CCC-SLP Individual | Speech-Language Pathologist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1679732572 | JOHN FEELEY Individual | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2104 |
| 1467611368 | JEANETTE KOPP Individual | Occupational Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2104 |
| 1417281023 | JULIE A WASHIC Individual | Occupational Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1841524451 | JONATHAN EGGEBRECHT OTR Individual | Occupational Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1053618470 | JOSEPH SPENCER Individual | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1205135894 | JOEL KOLBERG Individual | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1659669349 | JENNA N MALISZEWSKI Individual | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1093078859 | TAMMY PETERSON PTA Individual | Physical Therapy Assistant | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2128 |
| 1841554318 | EMILY IGL CFY/SLP Individual | Speech-Language Pathologist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 238-2128 |
| 1518201573 | JAMIE NICOLE SCOTT PTA Individual | Physical Therapy Assistant | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2128 |
| 1346639143 | FMG SOUTH 43RD STREET WISCONSIN LLC Organization | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1851581839 | JENNIFER M SHAY OTR Individual | Occupational Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2104 |
| 1487172276 | NSH SUNRISE LLC Organization | Skilled Nursing Facility | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1710538640 | KATHLEEN ANN SHIELDS PHYSICAL THERAPIST Individual | Physical Therapist | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
| 1205487444 | MR. SHANE DAVID FRASHER COTA Individual | Occupational Therapy Assistant | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 328-2104 |
| 1871135723 | LIFESOURCE OF NORTH CAROLINA Organization | Social Worker (Clinical) | 3540 S 43RD ST MILWAUKEE, WI 53220 (910) 742-9243 |
| 1235726001 | SARAH DURICA PTA Individual | Physical Therapy Assistant | 3540 S 43RD ST MILWAUKEE, WI 53220 (414) 541-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467625269, enumerated in the NPI registry as an "individual" on April 12, 2008
The provider is located at 3540 S 43rd St Milwaukee, Wi 53220 and the phone number is (414) 328-2104
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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