Individual provider Active NPI

Anthony Moorman, MD

  • Obstetrics & Gynecology Physician
  • Chestertown, MD
National Provider Identifier
1932148749
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D45212 Issued in MD
Practice address
521 Washington Ave
Chestertown, MD 21620-1217
Phone
(410) 810-0767
Fax
(410) 630-1677
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D45212 MD Primary

Addresses

Primary practice location

521 Washington Ave
Chestertown, MD 21620-1217

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6482

Other identifiers 6

IdentifierTypeStateIssuer
133341100MedicaidMD
Y945-002OtherMDCAREFIRST PRODUCTS
1176465OtherMDCIGNA
4592086OtherMDAETNA HMO AND PPO
217972OtherMDJHHC - EHP, PRIORITY PARTNERS, USFHP
607156016OtherMDFEDERAL EMPLOYEES WORKER COMP (FECA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100512000125 MD Practitioner - Obstetrics/Gynecology 4587744917 Reassigns benefits to 2 organizations
I20190618000832 VA Practitioner - Obstetrics/Gynecology 4587744917 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D45212MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Apr 16, 2019 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2010 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2010 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 20, 2022 Accepting new patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 20, 2022 Accepting new patients
Anne Arundel Medical Center, Inc Obstetrics & Gynecology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 150
Annapolis, MD 21401
Phone (410) 849-2273

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

521 Washington Ave
Chestertown, MD 21620
Phone (410) 810-0767

555 Cynwood Dr
Easton, MD 21601
Phone (410) 810-0767

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

Interoperability endpoints

  • Direct secure messaging: amoorman12625@direct.aahs.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1932148749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6482",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WASHINGTON AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201217",
            "telephone_number": "410-810-0767",
            "fax_number": "410-630-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D45212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133341100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PRODUCTS",
            "identifier": "Y945-002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1176465",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO AND PPO",
            "identifier": "4592086",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC - EHP, PRIORITY PARTNERS, USFHP",
            "identifier": "217972",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYEES WORKER COMP (FECA)",
            "identifier": "607156016",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.