Individual provider Active NPI

Laura Gruen Mosher, MD

  • Interventional Cardiology Physician
  • Sebring, FL
National Provider Identifier
1245212224
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME125464 Issued in FL
Practice address
4240 Sun N Lake Blvd Ste 202
Sebring, FL 33872-1944
Phone
(863) 471-3926
Fax
(863) 385-3093
NPI assigned
Nov 16, 2005
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2010012190 MO
Cardiovascular Disease Physician 207RC0000X 036125967 IL
Interventional Cardiology Physician 207RI0011X 2010012190 MO
Interventional Cardiology Physician 207RI0011X 036-125967 IL
Interventional Cardiology Physician 207RI0011X ME125464 FL Primary

Addresses

Primary practice location

4240 Sun N Lake Blvd Ste 202
Sebring, FL 33872-1944

Mailing address

6633 Forest Ave Ste 300
New Port Richey, FL 34653-2612
Phone (727) 724-8611

Other practice location 1

6633 Forest Ave
Ste 300
New Port Richey, FL 34653-2612
Phone (727) 724-8611

Other names 1

  • Laura Gruen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160321002064 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1850321522 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466

4240 Sun N Lake Blvd
Sebring, FL 33872-1944

4421 Sun N Lake Blvd
Sebring, FL 33872-2172
Phone (863) 382-2225

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010012190MOMDCardiovascular Disease Physician
ME125464FLMDInterventional Cardiology Physician
036-125967ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Jan 2, 2017 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 23, 2023 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Mar 1, 2018 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Apr 17, 2024 Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC Cardiovascular Disease CurrentSince Apr 18, 2016 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Mar 1, 2018 Accepting new patients
Key West Hma Physician Management, LLC Cardiovascular Disease CurrentSince Apr 17, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients

Locations

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

4240 Sun N Lake Blvd
Ste 202
Sebring, FL 33872
Phone (863) 471-3926

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lmosher1892546@adventhealth.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1245212224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 FOREST AVE STE 300",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532612",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SUN N LAKE BLVD STE 202",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721944",
            "telephone_number": "863-471-3926",
            "fax_number": "863-385-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6633 Forest Ave",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346532612",
            "country_code": "US",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "LAURA",
        "middle_name": "GRUEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2010012190",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036125967",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2010012190",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-125967",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME125464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GRUEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.