Mary Ann D. Moore I MARYANN D. MOORE, MDPA

Address: 300 Dorchester Ave, Cambridge, MD 21613-2420
Phone: 4102282603

Mary Ann D. Moore I (NPI# 1770581019, PAC ID# 2163581315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1770581019
PAC ID by PECOS 2163581315
Professional Enrollment ID I20081104000141
Full Name Mary Ann D. Moore I
Organization Legal Name MARYANN D. MOORE, MDPA
Address 300 Dorchester Ave
Cambridge
MD 21613-2420
Phone Number 4102282603
Gender F
Graduation Year 1983
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 9537228697
Number of Group Practice Members 5
Accepts Medicare Assignment Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210037 UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON
210002 UNIVERSITY OF MARYLAND MEDICAL CENTER

Other Locations

Address Phone Organization
300 Dorchester Ave, Cambridge, MD 21613-2420 4102282603 MARYANN D. MOORE, MDPA

Organization Information

Organization Legal Name MARYANN D. MOORE, MDPA
Physicians 5

Physicians with the same location

Name Specialty Organization Address
Sara Wozny Coulbourn FAMILY PRACTICE MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Jennifer Goddard Brant PHYSICIAN ASSISTANT MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Heather Holley Morrow NURSE PRACTITIONER MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Ashley Hurley Jones PHYSICIAN ASSISTANT MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge

Office Location

Street Address 300 DORCHESTER AVE
City CAMBRIDGE
State MD
Zip 21613-2420

Physicians with the same location

Name Specialty Organization Address
Heather Holley Morrow NURSE PRACTITIONER MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Ashley Hurley Jones PHYSICIAN ASSISTANT MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Jennifer Goddard Brant PHYSICIAN ASSISTANT MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge
Sara Wozny Coulbourn FAMILY PRACTICE MARYANN D. MOORE, MDPA 300 Dorchester Ave, Cambridge

Competitor

Search similar physicians

City CAMBRIDGE
Zip Code 21613
Specialty INTERNAL MEDICINE
City + Specialty CAMBRIDGE + INTERNAL MEDICINE

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Dataset Information

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.