Individual provider Active NPI

Laura Ellen Moffat, MD

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1184645160
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000037192 Issued in TN
Practice address
501 19TH Street
Suite 509
Knoxville, TN 37916-1853
Phone
(865) 524-3208
Fax
(865) 522-4322
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37192 TN
Obstetrics & Gynecology Physician 207V00000X MD0000037192 TN Primary

Addresses

Primary practice location

501 19TH Street
Suite 509
Knoxville, TN 37916-1853

Mailing address

501 19TH Street
Suite 509
Knoxville, TN 37916-1853
Phone (865) 524-3208

Other identifiers 1

IdentifierTypeStateIssuer
3886391MedicaidTN

Other names 1

  • Dr. Laura Ellen Robeson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000451 TN Practitioner - Obstetrics/Gynecology 5698850949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians
Fort Sanders Obstetrical and Gynecological Group, PCGroup PAC ID 1254416506, 11 clinicians

Practice addresses (Care Compare)

501 19TH St
Suite 401
Knoxville, TN 37916-1831
Phone (865) 541-2020

501 19TH St
Suite 509
Knoxville, TN 37916-1874
Phone (865) 524-3208

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Obstetrical and Gynecological Group, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2003 Accepting new patients
Fort Sanders Perinatal Center CurrentSince Mar 1, 2026 Accepting new patients
Fort Sanders Regional Medical Center Past Accepting new patients
Fort Sanders Obstetrical and Gynecological Group II LLC Past Accepting new patients

Locations

Dept 888247
Knoxville, TN 37995

501 19th St
Ste 509
Knoxville, TN 37916
Phone (423) 524-1024

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

9314 Park West Blvd
Ste 303
Knoxville, TN 37923
Phone (865) 524-3208

220 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 531-3011

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1184645160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH STREET",
            "address_2": "SUITE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161853",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH STREET",
            "address_2": "SUITE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161853",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "LAURA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "37192",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000037192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886391",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ROBESON",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.