Active NPI
Cynthia J Moorman MD,PA
- Medical Specialty Clinic/Center
- Frederick, MD
National Provider Identifier
1124440359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- D0054731
- Legal business name
- CYNTHIA J MOORMAN MD,PA
- Practice address
- 77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893 - Phone
- (301) 662-4868
- Fax
- (301) 662-0050
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christine M Morningstar, RN
- Title
- Practice Administrator
- Phone
- (301) 662-5277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | D0054731 | MD | Primary |
Addresses
Primary practice location
77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893
Mailing address
77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893
Phone (301) 662-4868
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1021165 | Cynthia J Moorman MD PA | Provider-performed microscopy | Jan 13, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/20923/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Frederick, MD
- NPI 1700866191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1124440359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 THOMAS JOHNSON DR",
"address_2": "SUITE K",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024893",
"telephone_number": "301-662-4868",
"fax_number": "301-662-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 THOMAS JOHNSON DR",
"address_2": "SUITE K",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024893",
"telephone_number": "301-662-4868",
"fax_number": "301-662-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA J MOORMAN MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "MORNINGSTAR",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "301-662-5277",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MD",
"license": "D0054731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.