MEDICARE: DR. GARY L MOORMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34003175	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00280770	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000377156	OTHER		BCBS
4	000000360664	OTHER	OH	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528061231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY L MOORMAN DO

Provider Business Mailing Address
First Line	:	2942 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1248
Country	:	US
Telephone Number	:	419-729-5785
Fax Number	:	419-729-4028

Provider Business Practice Location Address
First Line	:	2213 CHERRY ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2603
Country	:	US
Telephone Number	:	419-251-4204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/15/2007

Similar Medicare Providers

1740676030 — TIMOTHY CAMERON STEENHOFF D.O.
Practice Location Address:

2213 CHERRY ST
TOLEDO, OH
43608-2603

Practice Phone: 954-830-5242
Practice Fax:

1699778837 — DR. THEODORE M BRAUN MD
Practice Location Address:

2213 CHERRY ST , 1ST FLOOR
TOLEDO, OH
43608-2603

Practice Phone: 419-251-5271
Practice Fax: 419-251-6977

1568465425 — CHARLES S SHELDON D.O.
Practice Location Address:

2213 CHERRY ST UNIT 2B
TOLEDO, OH
43608-2603

Practice Phone: 419-251-5155
Practice Fax: 419-251-5160

1760485064 — DR. GERALD WAYNE MARSA M.D.
Practice Location Address:

2213 CHERRY ST
TOLEDO, OH
43608-2603

Practice Phone: 419-251-4572
Practice Fax: 419-251-3849

1699770040 — JEFFREY P BLOOD D.O.
Practice Location Address:

2213 CHERRY ST UNIT 2B
TOLEDO, OH
43608-2603

Practice Phone: 419-251-5155
Practice Fax: 419-251-5160

1215932165 — STANLEY J ORLOP D.O.
Practice Location Address:

2213 CHERRY ST UNIT 2B
TOLEDO, OH
43608-2603

Practice Phone: 419-251-5155
Practice Fax: 419-251-5160

Directions to “ DR. GARY L MOORMAN DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.