Provider Demographics
NPI:1932148749
Name:MOORMAN, ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:MOORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6482
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:521 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1217
Practice Address - Country:US
Practice Address - Phone:410-810-0767
Practice Address - Fax:410-630-1677
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD45212207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD133341100Medicaid
MDY945-002OtherCAREFIRST PRODUCTS
MD1176465OtherCIGNA
MD4592086OtherAETNA HMO AND PPO
MD217972OtherJHHC - EHP, PRIORITY PARTNERS, USFHP
MD607156016OtherFEDERAL EMPLOYEES WORKER COMP (FECA)
MD217972OtherJHHC - EHP, PRIORITY PARTNERS, USFHP
MD607156016OtherFEDERAL EMPLOYEES WORKER COMP (FECA)