Active NPI
Cynthia J. Moorman, M.D., P.a.
- Urology Physician
- Frederick, MD
National Provider Identifier
1528113040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0054731
- Legal business name
- CYNTHIA J. MOORMAN, M.D., P.A.
- Practice address
- 77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893 - Phone
- (301) 662-4868
- Fax
- (301) 662-4200
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia Joy Moorman, M.D.
- Title
- President
- Phone
- (301) 662-4868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0054731 | MD | Primary |
Addresses
Primary practice location
77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893
Mailing address
77 Thomas Johnson Dr
Suite K
Frederick, MD 21702-4893
Phone (301) 662-4868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA7824 | Other | MD | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
77 Thomas Johnson Dr
Ste K
Frederick, MD 21702
Phone (301) 662-4868
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Frederick, MD
- NPI 1700866191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197849600000",
"number": "1528113040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 THOMAS JOHNSON DR",
"address_2": "SUITE K",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024893",
"telephone_number": "301-662-4868",
"fax_number": "301-662-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 THOMAS JOHNSON DR",
"address_2": "SUITE K",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024893",
"telephone_number": "301-662-4868",
"fax_number": "301-662-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA J. MOORMAN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2007-12-17",
"status": "A",
"authorized_official_last_name": "MOORMAN",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-662-4868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MD",
"license": "D0054731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DA7824",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.