Active NPI
Lawrence Michael Moher, MD
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1447424577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8438
- Practice address
- 2247 E 4TH St
Tucson, AZ 85719 - Phone
- (520) 319-2314
- Fax
- (520) 626-6134
- NPI assigned
- Apr 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 8438 | AZ | |
| Family Medicine Physician | 207Q00000X | 8438 | AZ | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 8438 | AZ |
Addresses
Primary practice location
2247 E 4TH St
Tucson, AZ 85719
Mailing address
2247 E 4TH St
Tucson, AZ 85719
Phone (520) 319-2314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8438 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1447424577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 E 4TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-319-2314",
"fax_number": "520-626-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2247 E 4TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-319-2314",
"fax_number": "520-626-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHER",
"first_name": "LAWRENCE",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "8438",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "8438",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AZ",
"license": "8438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.