Individual provider
MARY E MOYER, M.D.
CMS NPPES lists MARY E MOYER as an individual provider record with NPI 1356450043. The current record reports a primary practice location in ACOMA, NM and primary taxonomy code 207Q00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location80 B VETERANS BLVDACOMA, NM 87034
- Additional practice location518 Oak StKamiah, ID 835366094
- Additional practice location301 Cedar StOrofino, ID 835449029
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207Q00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 29, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.