Karen E Moffett, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D51639 Issued in MD

Practice address

830 Chesapeake Dr
Cambridge, MD 21613-9408

Phone

(410) 228-6243

Fax

(410) 901-4011

NPI assigned

Feb 21, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1881669026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHESAPEAKE DR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139408",
            "telephone_number": "410-228-6243",
            "fax_number": "410-901-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHESAPEAKE DR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139408",
            "telephone_number": "410-228-6243",
            "fax_number": "410-901-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D51639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Metzbower
• Miles River Primary Care LLC
• Andrea Lynn Minerva, LCPC
• Cheryl Denise Mitchell, MSW, LCSW-C
• Mark E Modoski, LCSW-C
• Mohamed Abdelbagi Omer Mohamed Ahmed, MD
• Michelle Mondal, P.A.
• Jose M Monroy Trujillo, M.D.
• Bernard Patrick Mooney, P.T.
• Mary Ann Devlin Moore, MD

• Family Medicine Physician in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.