Medmoco, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APRN.CNP.13117 Issued in OH

Legal business name

MEDMOCO, LLC

Practice address

155 E Main St
McConnelsville, OH 43756-1296

Phone

(740) 517-0076

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Irene Morrow, FNP

Title

FNP

Phone

(740) 517-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18677/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1669963773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S STATE ROUTE 376 SE",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569631",
            "telephone_number": "740-517-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561296",
            "telephone_number": "740-517-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMOCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "740-517-0076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.13117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3601471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Elaine Mays, LPN
• Janelle McConnell, APRN, FNP-BC
• Lori Ellen McGrath
• Jamie Ann McGrew, BA, QMHS
• Kristi Jo McLeish, LICDC
• Sarah Melchiori, DPT
• Josie Misuraca
• Alivia L Mock, AAS, QMHS
• Tiffany Sue Moore
• Morgan Behavioral Health Choices

• Primary Care Clinic/Center in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.