Tim Ivan Moomaw (NPI# 1386035954, PAC ID# 6103144597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1386035954 |
PAC ID by PECOS | 6103144597 |
Professional Enrollment ID | I20150415000918 |
Full Name | Tim Ivan Moomaw |
Organization Legal Name | SAMARITAN EMERGENCY PHYSICIANS, LLP |
Address |
1025 Ctr St Ashland OH 44805-4011 |
Phone Number | 4192890491 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1759295330 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360002 | UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1025 Ctr St, Ashland, OH 44805-4011 | 4192890491 | SAMARITAN EMERGENCY PHYSICIANS, LLP |
55 Hospital Dr, Athens, OH 45701-2302 | 7405935551 | ATHENS EMERGENCY GROUP, LLC |
1740 Cleveland Rd, Wooster, OH 44691-2204 | 3302874500 | WOOSTER CLINIC LLC |
721 E Milltown Rd, Wooster, OH 44691-1255 | 3302874500 | WOOSTER CLINIC LLC |
Organization Legal Name | SAMARITAN EMERGENCY PHYSICIANS, LLP |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Margaret M Poznalska | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
Jeffrey A Nielson | Emergency Medicine | Samaritan Emergency Physicians, LLP | 433 W High St, Bryan, OH 43506-1690 |
Paul G Cornici | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
Jason F Tanner | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
Justin R Andes | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
Waseem A Khawaja | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
Mark W Swift | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
Saulius Ivanauskas | Family Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
Street Address |
1025 CTR ST |
City | ASHLAND |
State | OH |
Zip | 44805-4011 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vineeta Gahlawat | General Surgery | University Primary Care Practices Inc | 1025 Ctr St, Ashland, OH 44805-4011 |
Bradley Alan Bryan | General Surgery | University Primary Care Practices Inc | 1025 Ctr St, Ashland, OH 44805-4011 |
Justin R Andes | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
Paul J Ligman | Anesthesiology | Ashland Anesthesia, Psc. Inc. | 1025 Ctr St, Ashland, OH 44805-4011 |
David T Frazee | Anesthesiology | Ashland Anesthesia, Psc. Inc. | 1025 Ctr St, Ashland, OH 44805-4011 |
Michael J Bitner | Nurse Practitioner | Samaritan Regional Health System | 1025 Ctr St, Ashland, OH 44805-4011 |
Waseem A Khawaja | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
Harold P Reed | Anesthesiology | Ashland Anesthesia, Psc. Inc. | 1025 Ctr St, Ashland, OH 44805-4011 |
Stephanie L Fox | Nurse Practitioner | Samaritan Regional Health System | 1025 Ctr St, Ashland, OH 44805-4011 |
Michael A Martin | Anesthesiology | Ashland Anesthesia, Psc. Inc. | 1025 Ctr St, Ashland, OH 44805-4011 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Carolyn E Graham | Nurse Practitioner | Kingston Care Partners, LLC | 2010 Amberwood Pkwy, Ashland, OH 44805 |
Robert E Bachelder | Chiropractic | 1182 Township Rd, Suite 1175, Ashland, OH 44805-1977 | |
Adina L Fox | Clinical Social Worker | 19 W Main St, Suite 16, Ashland, OH 44805-2220 | |
Laura Davis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 418 E Main St, Ashland, OH 44805-2550 |
Brian S O'neill | Chiropractic | 516 Claremont Ave, Ashland, OH 44805-3010 | |
Kendra Lynn Young | Clinical Social Worker | Cornerstone Counseling of Ashland LLC | 502 Claremont Ave, Ashland, OH 44805-3010 |
Brooke E Simonson | Clinical Social Worker | Cornerstone Counseling of Ashland LLC | 502 Claremont Ave, Ashland, OH 44805-3010 |
Jack B Starkey Jr. | Chiropractic | 312 Ctr St, Ashland, OH 44805-3245 | |
Diane S Emser | Chiropractic | 1280 Thomas Dr, Ashland, OH 44805-3514 | |
John T Hanna | Family Medicine | 1590 Crestview Dr, Suite B, Ashland, OH 44805-3560 | |
Find all physicians in zip 44805 |
City | ASHLAND |
Zip Code | 44805 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ASHLAND + NURSE PRACTITIONER |
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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.