Sally Ward Pullman-Mooar, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD026335E Issued in PA

Practice address

2360 Maryland Rd
Willow Grove, PA 19090-1709

Phone

(215) 657-6776

Fax

(267) 913-5963

NPI assigned

Jul 8, 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

Other identifiers 2

Electronic endpoints 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

Locations

Interoperability endpoints

• Direct secure messaging: sally.pullmanmooarmd.p1@direct.arthritispa.nextgenshare.com

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.

• University of Penn-Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1477658599
  NPD
• University of Penn-Medical Group

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1982717641
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912930702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901709",
            "telephone_number": "215-657-6776",
            "fax_number": "267-913-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901709",
            "telephone_number": "215-657-6776",
            "fax_number": "267-913-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S 9th St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076810",
            "country_code": "US",
            "telephone_number": "215-955-8430",
            "fax_number": "215-923-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLMAN-MOOAR",
        "first_name": "SALLY",
        "middle_name": "WARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD026335E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "005478400",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001060415",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sally.pullmanmooarmd.p1@direct.arthritispa.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "RHEUMATIC DISEASE ASSOCIATES,LTD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2360 Maryland Road",
            "city": "Willow Grove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Prestipino
• Emily Price
• Maryann Prichett, PT
• Primax Wellness Group Inc
• Charles H Pritchard, M.D.
• Brian Patrick Rafferty
• Bridgette Raisman, M.S., CCC-SLP
• Jaiveersinh Mahendrasinh Raj, PHARMD
• Anu Ramdas, D.O.
• Sandra M Rappe, M.D.

• Rheumatology Physician in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.