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THERESA BOYADJIAN MOKS MD
NPI 1295437994
Student in an Organized Health Care Education/Training Program in Appleton, WI

Active since March 20, 2023PECOS Enrolled
229 S MORRISON ST, APPLETON, WI 54911(920) 832-2783 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theresa Boyadjian Moks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA BOYADJIAN MOKS MD (NPI 1295437994) is an individual student in an organized health care education/training program in Appleton, Wisconsin and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295437994
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHERESA BOYADJIAN MOKSCredential: MD
Location Address229 S MORRISON STAppleton, WI 54911-5725
Mailing Address229 S Morrison StAppleton, WI 54911-5725 · (920) 832-2783
Phone(920) 832-2783
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 18, 2023
✔ NPI 1295437994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

229 S MORRISON ST, Appleton, WI 54911
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Other Names 1

Former Name (1)Theresa Haroutioun Boyadjian Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Boyadjian Moks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DEBRA J PASSEHL APNP
Nurse Practitioner (Family)
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
JOHN N ALLHISER MD
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
CHELSEA L BAUCOM-YOUNG MSW
Social Worker
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
ROLF G HALLBERG MD
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
SUZANNE L DUPONT APNP
Nurse Practitioner
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
ALICE M BOSHOVEN MD
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. STACEE LYNN GOEDTEL BIRR DO
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Moks's NPI number?

The NPI number for Theresa Moks is 1295437994. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Theresa Haroutioun Boyadjian MD.

Where is Theresa Moks located?

Theresa Moks practices at 229 S Morrison St, Appleton, WI 54911. The listed phone number is (920) 832-2783.

What is Theresa Moks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Theresa Moks enrolled in Medicare?

Yes. Theresa Moks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Moks was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.