CYNTHIA J. MOORMAN, M.D., P.A.


Address: 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893
Phone: 3016624868

CYNTHIA J. MOORMAN, M.D., P.A. (NPI# 1528113040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528113040
Entity Type Organization
Organization Name CYNTHIA J. MOORMAN, M.D., P.A.
Practice Address 77 Thomas Johnson Dr
Suite K
Frederick
MD 21702-4893
Practice Telephone 3016624868
Practice Fax Number 3016624200
Mailing Telephone 3016624868
Mailing Fax Number 3016624200
Enumeration Date 2007-01-24
Last Update Date 2007-12-17
Authorized Official Name DR. CYNTHIA JOY MOORMAN (PRESIDENT)
Authorized Official Telephone 3016624868
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology D0054731 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD MEDICARE RAILROAD DA7824 01

Office Location

Street Address 77 THOMAS JOHNSON DR
SUITE K
City FREDERICK
State MD
Zip Code 21702-4893

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154302313 Joseph Louis Camacho Dentist 77 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4893 2005-11-07
1205346079 Susan Elizabeth Cottrell Nurse Practitioner 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702 2017-10-06
1508314857 Kristin Mauerhan Keeley Nurse Practitioner 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 2016-09-15
1124440359 Cynthia J Moorman Md,pa Clinic/Center 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 2014-01-07
1417118407 Msc Ambulatory Surgical Center, LLC Clinic/Center 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4893 2008-06-23
1841488954 Elizabeth A. Liotta, M.d.,l.l.c Specialist 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 2007-10-15
1508911850 Heather N Demory Physician Assistant 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 2007-01-25
1962583955 Elizabeth Ann Liotta Dermatology 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 2006-10-18
1588760607 Dr Behnaz Yalda Inc Dentist 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 2006-09-16
1477659571 Behnaz Yalda Dentist 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 2006-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578831145 Frederick Health Medical Group LLC Urology 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337 2011-12-09
1174750970 Mohammed Haseebuddin Urology 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 2009-06-18
1588708267 Jared R. Berkowitz Urology 1562 Opossumtown Pike Fl 3, Frederick, MD 21702 2007-02-16
1760473599 Robert D Crouch, Md, Pa Urology 900 Toll House Ave, Frederick, MD 21701-4547 2005-11-01
1851393896 Mark Xavier Coyne Urology 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 2005-08-10
1972077261 Family Urology Associates Urology 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 2019-01-19
1477866127 Frederick Memorial Hospital Inc Urology 900 Toll House Ave, Frederick, MD 21701-4547 2010-07-23
1023293826 Mohammed M Mohiuddin Urology 801 Toll House Ave, Bldg B2, Frederick, MD 21701 2007-12-31
1871781435 Bert Williams M.d. LLC Urology 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 2007-10-09
1225258205 Mark X Coyne Md Pa Urology 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 2007-05-01
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City FREDERICK
Zip Code 21702

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Dataset Information

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.

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