Tim I. Moomaw, NP

Nurse Practitioner · Gallipolis, OH

Individual Active NPI

NPI number 1386035954

Practice location

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone
(740) 446-5000

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NPI record

NPI
1386035954
Entity type
Individual (Type 1)
Enumeration date
February 18, 2015
Last updated
February 18, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X COA.17111-NP OH

Mailing address

75 Remit Dr
#1367
Chicago, IL 60675-1367
Phone
(866) 916-5259

About Tim Moomaw

Tim I. Moomaw, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 100 Jackson Pike, Gallipolis, OH 45631-1560. The NPI number 1386035954 was assigned on February 18, 2015 and the record was last updated on February 18, 2015.

Tim Moomaw lists a license in the registry: #COA.17111-NP (OH) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tim I. Moomaw, NP?

The NPI number is 1386035954.

What is the phone number of Tim Moomaw?

The phone number listed for the practice location is (740) 446-5000.

Where is Tim Moomaw located?

100 Jackson Pike, Gallipolis, OH 45631-1560.

What is the taxonomy code for Tim Moomaw?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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