Individual provider Active NPI

Lauren Moorhead, M.D.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1518286319
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME119649 Issued in FL
Practice address
3216 W Azeele St Ste 2
Tampa, FL 33609-3151
Phone
(813) 773-6627
Fax
(813) 443-6001
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME119649 FL Primary

Addresses

Primary practice location

3216 W Azeele St Ste 2
Tampa, FL 33609-3151

Mailing address

3216 W Azeele St Ste 2
Tampa, FL 33609-3151
Phone (813) 773-6627

Other practice location 1

1840 Mease Dr
Safety Harbor, FL 34695
Phone (727) 376-7734

Other names 1

  • Lauren Fuhrig 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
I20140715001612 FL Practitioner - Obstetrics/Gynecology 0840415477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Macdill Ave
Suite 202
Tampa, FL 33609-3490
Phone (813) 773-6627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119649FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Gynecology, LLC Obstetrics & Gynecology CurrentSince Sep 6, 2024 Accepting new patients

Locations

105 S Macdill Ave
Ste 202
Tampa, FL 33609
Phone (813) 773-6627

3216 W Azeele St
Ste 2
Tampa, FL 33609
Phone (813) 358-7634

Interoperability endpoints

  • Direct secure messaging: lauren.moorhead.1@22799.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22799/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1518286319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 W AZEELE ST STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093151",
            "telephone_number": "813-773-6627",
            "fax_number": "813-443-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W AZEELE ST STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093151",
            "telephone_number": "813-773-6627",
            "fax_number": "813-443-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "34695",
            "country_code": "US",
            "telephone_number": "727-376-7734",
            "fax_number": "727-372-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME119649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "FUHRIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.