MS. MICHELLE LEE MOYLAN (NPI# 1043267115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043267115 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE LEE MOYLAN |
| Credential | CRNA |
| Practice Address |
305 Wye Harbor Dr Queenstown MD 21658-1638 |
| Practice Telephone | 4107031111 |
| Mailing Telephone | 4107031111 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R135096 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 556224401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 782 Marston Ct, Millersville, MD 211081499 | 4107031111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700406055 | Michelle Lynn Moylan | Dietitian, Registered | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8099 | 2020-04-16 |
| Street Address |
305 WYE HARBOR DR |
| City | QUEENSTOWN |
| State | MD |
| Zip Code | 21658-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306916 | Andrea Lynn Shafer | Nurse Practitioner | Maryland Primary Care Physicians 125 Shoreway Dr, Ste 120, Queenstown, MD 21658 | 2019-06-25 |
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1881757052 | Queenstown Volunteer Fire Company | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2006-12-19 |
| 1457459216 | Kathleen Stephanie Van Fossen | Social Worker | 206 Del Rhodes, Ste 203, Queenstown, MD 21658 | 2006-09-20 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1730440165 | Bethany Lynn Berger | Nurse Practitioner | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658 | 2012-06-01 |
| 1265579353 | Queenstown Volunteer Fire | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2007-01-30 |
| 1619075496 | Sallie Miller | Social Worker | 206 Del Rhodes, Suite 203, Queenstown, MD 21658 | 2006-09-20 |
| 1568581957 | Nicole Williams | Speech-Language Pathologist | 6923 Main St, Queenstown, MD 21658-1219 | 2007-03-28 |
| 1437123999 | Justin Scott Marlett | Specialist | 223 Melvin Ave, Queenstown, MD 21658-1237 | 2006-02-13 |
| Find all providers in zip 21658 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440255 | John Wesolowski | Nurse Anesthetist, Certified Registered | 289 Hickory Ridge Dr, Queenstown, MD 21658-1392 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795048 | Jessica Becker | Nurse Anesthetist, Certified Registered | 1103 Playford Ln, Silver Spring, MD 20901-1142 | 2020-09-22 |
| 1528678208 | Andrea Erley PC | Nurse Anesthetist, Certified Registered | 314 W Carroll St Ste 2, Salisbury, MD 21801-5409 | 2020-08-06 |
| 1053934950 | Mtc Anesthesia Associates | Nurse Anesthetist, Certified Registered | 304 Hedgepocket Way, Glyndon, MD 21136-1816 | 2020-05-26 |
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1477188241 | Badriya Yasmeen Dowe | Nurse Anesthetist, Certified Registered | 3510 Old Washington Rd Ste 200, Waldorf, MD 20602-3235 | 2020-03-11 |
| 1871140889 | Satellite Anesthesia LLC | Nurse Anesthetist, Certified Registered | 5602 Baltimore National Pike Ste 600, Baltimore, MD 21228-1409 | 2019-08-23 |
| 1760046098 | Oluwatoyin Olaide Orunja | Nurse Anesthetist, Certified Registered | 1305 Kingsbury Dr, Mitchellville, MD 20721-2023 | 2019-04-23 |
| 1205390804 | Lindsay Rae Smiler | Nurse Anesthetist, Certified Registered | 512 S Lakewood Ave, Baltimore, MD 21224-3822 | 2019-01-28 |
| 1770050726 | Ishita V Lalani | Nurse Anesthetist, Certified Registered | 8123 Shoal Creek Dr, Laurel, MD 20724-2949 | 2018-10-29 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSTOWN |
| Zip Code | 21658 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.