Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629557301 Deactivated / Inactive NPI Male Practitioner

Jon Moench , CCSH

Specialist/Technologist, Other • Fort Worth, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Moench has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2018
NPI Deactivation Date August 06, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Jon Moench, CCSH was a registered Specialist/Technologist, Other practicing in Fort Worth, TX. Throughout an active medical career spanning 1 years, Jon Moench provided care at the practice location at 6551 HARRIS PKWY STE 250 until profile deactivation on 2019-08-06.

Practice Location & Contact Primary Location

Practice Address

6551 Harris Pkwy Ste 250

Fort Worth, TX 761326115

Telephone 8172636116
Fax 8172636117
Associated Practice Facility / Clinic
🏢 David Maldonado Iii Md Pa Facility NPI 1174924450

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Fort Worth, TX (200 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Cody Rodriguez

Nurse Practitioner - Adult Health

NPI 1053810127
Dr. David Maldonado , MD

Internal Medicine - Pulmonary Disease

NPI 1386624476

Doctor of Medicine (M.D.)

Baylen Bastible , PA-C

Physician Assistant - Medical

NPI 1568401594

Physician Assistant (Certified)

Kristina Holmquist

Nurse Practitioner - Acute Care

NPI 1982224127

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 06, 2019

Record deactivated on August 06, 2019

NPI Profile Active August 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2018

Registered at 6551 HARRIS PKWY STE 250, FORT WORTH, TX 761326115 (Tel: 8172636116)

📍
Updated Business Mailing Address August 13, 2018

Registered at 6551 HARRIS PKWY STE 250, FORT WORTH, TX 761326115 (Tel: 8172636116)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as JON MOENCH, CCSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration August 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jon Moench. Be the first to share your experience!

Sign in to leave a review for Jon Moench

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629557301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2018
Last Update: August 13, 2018
Deactivation Date: August 06, 2019

Mailing Address

6551 Harris Pkwy Ste 250

Fort Worth, TX 761326115

Phone: 8172636116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.