Rohan W Moffatt Sports Medicine
5890 Waterloo Rd, Columbia, MD 21045-2617


Rohan W Moffatt is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1780850917. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4284804782. The primary specialty is SPORTS MEDICINE. The organization is UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE LLC. The address is 5890 Waterloo Rd, Columbia, MD 21045-2617. The zip code is 21045.


Rohan W Moffatt · 5890 Waterloo Rd, Columbia, MD 21045-2617

Nation Provider ID 1780850917
PAC ID by PECOS 4284804782
Professional Enrollment ID I20110818000708
Last Name MOFFATT
First Name ROHAN
Middle Name W
Gender M
Medical School Name OTHER
Graduation Year 2002
Primary Specialty SPORTS MEDICINE
Secondary Specialties FAMILY PRACTICE
Primary Specialty UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE LLC
Phone Number 6672142100
Group Practice PAC ID 7618284654
Number of Group Practice Members 15
Address 5890 WATERLOO RD
COLUMBIA, MD 210452617
Professional accepts Medicare Assignment Y
Report Quality Measures Y

University of Maryland Faculty Physicians Immediate Care LLC · Medicare Physician

Name Address Specialty
Mario Majette 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Yvette Rooks 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
David Stewart 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Tamischer Nettles 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Michelle Fuselier 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Weyinshet Gossa 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Shana Ntiri 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Vivienne Rose 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Petagaye Andrews 5890 Waterloo Rd, Columbia, MD 21045-2617 NURSE PRACTITIONER
Russell Lewis 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE

Zip 21045 · Medicare Physician

Name Address Specialty
Rebecca Bower 9256 Bendix Rd, Columbia, MD 21045-1848 PHYSICIAN ASSISTANT
Gulshan Nazir 8850 Columbia 100 Pkwy, Columbia, MD 21045-2377 FAMILY PRACTICE
Veronica Antico 8894 Stanford Blvd, Columbia, MD 21045-5161 CHIROPRACTIC
Priscilla Ballsun 5500 Knoll N Dr, Columbia, MD 21045-2389 CLINICAL SOCIAL WORKER
Nandakuma Vellanki 8850 Columbia 100 Pkwy, Columbia, MD 21045-2377 INTERNAL MEDICINE
Faye Grimes 8860 Columbia 100 Pkwy, Columbia, MD 21045-2384 NURSE PRACTITIONER
Michelle Fuselier 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Harry Derr 6420 Dobbin Rd, Columbia, MD 21045-4749 CHIROPRACTIC
Kaiser Ahmad 8850 Columbia 100 Pkwy, Columbia, MD 21045-2377 CRITICAL CARE (INTENSIVISTS)
Kristin Krotz 8600 Snowden River Pkwy, Columbia, MD 21045-1986 AUDIOLOGIST
Mario Majette 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Mary Ann Wilkinson 5500 Knoll N, Columbia, MD 21045-2363 NURSE PRACTITIONER
Clement Banda 7120 Minstrel Way, Columbia, MD 21045-5274 DERMATOLOGY
Kendra Kay 8850 Columbia 100 Pkwy, Columbia, MD 21045-2377 INTERNAL MEDICINE
Russell Schub 8875 Centre Park Dr D, Columbia, MD 21045-2382 GASTROENTEROLOGY
Weyinshet Gossa 5890 Waterloo Rd, Columbia, MD 21045-2617 FAMILY PRACTICE
Thomas Brennan 8820 Columbia 100 Pkwy, Columbia, MD 21045-2169 DIAGNOSTIC RADIOLOGY
Eric Lindsell 7270 Cradlerock Way, Columbia, MD 21045-5045 CHIROPRACTIC
Mary Collins 5500 Knoll N Dr, Columbia, MD 21045-2389 CLINICAL SOCIAL WORKER
Tara Acevedo 5525 Twin Knolls Rd, Columbia, MD 21045-3207 CLINICAL PSYCHOLOGIST