Gregory Mark Moreland (NPI# 1134199243, PAC ID# 0648453712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1134199243 |
PAC ID by PECOS | 0648453712 |
Professional Enrollment ID | I20110328000180 |
Full Name | Gregory Mark Moreland |
Address |
2206 22nd St Nitro WV 25143-1729 |
Phone Number | 3047551571 |
Gender | M |
Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
Graduation Year | 1984 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510029 | THOMAS MEMORIAL HOSPITAL |
510022 | CHARLESTON AREA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2206 22nd St, Nitro, WV 25143-1729 | 3047551571 |
Street Address |
2206 22ND ST |
City | NITRO |
State | WV |
Zip | 25143-1729 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jay Lee Mcclanahan | Chiropractic | 642 Cross Lanes Dr, Nitro, WV 25143-1163 | |
E Michael Robie | Family Medicine | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Joanna B Stover | Physician Assistant | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Derrick Richard Green | Pathology | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Sarah Y Taylor | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Travis Lee Taylor | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Elizabeth Ann Parsons | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Tracy L Leege | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Lisa R Mallory | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Angela D Whitman | Family Medicine | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Find all physicians in zip 25143 |
City | NITRO |
Zip Code | 25143 |
Specialty | FAMILY MEDICINE |
City + Specialty | NITRO + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.