LAURA LOOMER MOYLAN (NPI# 1235192527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235192527 |
Entity Type | Individual |
Full Name | LAURA LOOMER MOYLAN |
Credential | M.D. |
Practice Address |
1930 Braeburn Dr Suite B Salem VA 24153-7391 |
Mailing Address |
6008 Cavalier Dr Roanoke VA 24018-3880 |
Practice Telephone | 5407766800 |
Practice Fax Number | 5407762919 |
Mailing Telephone | 5407726920 |
Enumeration Date | 2006-04-09 |
Last Update Date | 2010-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101044609 | VA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | TAX ID # | 54-1832336 | 01 |
VA | BCBS PROVIDER NUMBER | 282028 | 01 |
VA | 6209718 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407219074 | Laura T Moylan | Lactation Consultant, Non-RN | 561 Se Marydale Ter, Port St Lucie, FL 34983-2217 | 2016-03-31 |
1063496735 | Laura B Moylan | Obstetrics & Gynecology | 200 Banning Street, Suite 320, Dover, DE 19904-3530 | 2005-12-06 |
Street Address |
1930 BRAEBURN DR SUITE B |
City | SALEM |
State | VA |
Zip Code | 24153-7391 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912079708 | Gary Wayne Crawford | Dentist | 1930 Braeburn Dr, Suite A, Salem, VA 24153 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
Find all providers in zip 24153 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265970495 | Deanna Lauren Carter | Specialist | 9 Muse Ter, Salem, NH 03079-2921 | 2017-02-08 |
1043763980 | Michael Tre Cline Jr. | Specialist | 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 | 2016-07-27 |
1508213604 | Amy Masters | Specialist | 23190 Zieber Ln Nw, Salem, OR 97304-9631 | 2016-05-18 |
1417326398 | Lisa K Breslin | Specialist | 27 Congress St Ste 203, Salem, MA 01970-5576 | 2015-09-21 |
1588048656 | Carl Bettencourt | Specialist | 67 Wharf St, Salem, MA 01970-5116 | 2015-07-17 |
1689066250 | Maxine Trujillo | Specialist | 191 Mcnary Ave Nw, Salem, OR 97304-4037 | 2015-02-19 |
1619379633 | Wanda Getz | Specialist | 4275 Commercial St Se, Salem, OR 97302-4086 | 2014-09-22 |
1255753174 | Janette Toll | Specialist | 1898 Court St Ne, Salem, OR 97301-4328 | 2014-01-12 |
1912333741 | Melanie A Ground | Specialist | 1967 Brightwood Ct S, Salem, OR 97302-2405 | 2013-09-25 |
1245662410 | Kenneth M. Wilson, M.d., P.C. | Specialist | 700 Bellevue St Se Ste 260, Salem, OR 97301-3888 | 2013-07-30 |
Find all providers in SALEM |
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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.