Moab LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10408R Issued in LA

Legal business name

MOAB LLC

Practice address

921 1St Ave
Sulphur, LA 70663-3424

Phone

(337) 527-6385

Fax

(337) 527-3527

NPI assigned

Apr 12, 2018

Organization subpart

Yes

Parent organization

KEVIN T. SCHLAMP, MD, LLCAs reported in NPPES

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

Authorized official

Name

Bridget Vita

Title

Administrator

Phone

(337) 802-6936

Specialties & licenses 1

Addresses

Other names 1

• Schlamp Family Medical Clinic Doing business as

Part of

Kevin T Schlamp MD LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kevin T. Schlamp, MD, LLC

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1871740233

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kevin T. Schlamp, MD, LLC

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1871740233
  NPPES parent name

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1306343561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633424",
            "telephone_number": "337-527-6385",
            "fax_number": "337-527-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633424",
            "telephone_number": "337-527-6385",
            "fax_number": "337-527-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kingston Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706634016",
            "country_code": "US",
            "telephone_number": "337-625-5843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEVIN T. SCHLAMP, MD, LLC",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "VITA",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-802-6936"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10408R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schlamp Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schlamp Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilee Miller
• Gerald Miller, RPH
• Mathew Miller, RPH
• Tanya Michelle Mitchell, MD
• Mmo Jennings, LLC
• Sarah Monceaux
• Kellie Morasco, NP
• Amy Morgan
• Jasmine Mosely, LMSW
• Charles Mullin

• Family Medicine Physician in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.