Lauren Elizabeth Moore, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD474256 Issued in PA

Practice address

111 Elwyn Rd
Media, PA 19063-4622

Phone

(610) 891-2324

NPI assigned

Apr 2, 2013

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Commonwealth Center for Children and Adolescents

  • Psychiatric Hospital
  • Staunton, VA
  • NPI 1912951369
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1588907125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-528-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2022-08-10",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD474256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103908891001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul J Monahan, MSS
• Alexandra Hillyard Monroe, DMD
• Alea Ditillo Moody
• Bryan Matthew Moore
• Janet L Moore, PSY.D.
• Roxanne Lisa Moore
• David Moran, LCSW
• Barrry Alan Morein, MSW
• Kelsey Morgan, L.AC
• Anna McCahon Morris, DMD

• Psychiatry Physician in Media, PA
• Providers in Media, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.