Rohan W Moffatt Sports Medicine
5890 Waterloo Rd, Columbia, MD 21045-2617



Rohan W Moffatt is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1780850917. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4284804782. The primary specialty is SPORTS MEDICINE. The organization is UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE LLC. The address is 5890 Waterloo Rd, Columbia, MD 21045-2617. The zip code is 21045.


Rohan W Moffatt · 5890 Waterloo Rd, Columbia, MD 21045-2617

Nation Provider ID 1780850917
PAC ID by PECOS 4284804782
Professional Enrollment ID I20110818000708
Last Name MOFFATT
First Name ROHAN
Middle Name W
Gender M
Medical School Name OTHER
Graduation Year 2002
Primary Specialty SPORTS MEDICINE
Primary Specialty UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE LLC
Group Practice PAC ID 7618284654
Number of Group Practice Members 7
Address 5890 WATERLOO RD
COLUMBIA, MD 210452617
Claims Based Hospital Affiliation Claim Control Number (CCN): 210037
Legal Business Name: SHORE HEALTH SYSTEM, INC.
Claims Based Hospital Affiliation Claim Control Number (CCN): 210002
Legal Business Name: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP
Professional accepts Medicare Assignment M
Participates in Medicare Physician Quality Reporting System (PQRS) Y

University of Maryland Faculty Physicians Immediate Care LLC · Medicare Physician

Name Address Specialty
Richard Colgan 5890 Waterloo Rd, Columbia, MD 21045 FAMILY PRACTICE

Zip 21045 · Medicare Physician

Name Address Specialty
Naier Anhary 9030 State Route 108, Columbia, MD 21045 NURSE PRACTITIONER
Crystal Courtney 8600 Snowden River Pkwy, Columbia, MD 21045 AUDIOLOGIST
Elizabeth Noyes 9030 State Route 108, Columbia, MD 21045 NURSE PRACTITIONER
William Charmak 5525 Twin Knolls Rd, Columbia, MD 21045 CLINICAL PSYCHOLOGIST
Jing Zhang 5525 Twin Knolls Rd, Columbia, MD 21045 PSYCHIATRY
Jeanne Bolton 7270 Cradlerock Way, Columbia, MD 21045 CLINICAL PSYCHOLOGIST
Mary Collins 5500 Knoll N Dr, Columbia, MD 21045 CLINICAL SOCIAL WORKER
Cathy Romeo 5450 Knoll N Dr -, Columbia, MD 21045 NURSE PRACTITIONER
Mary Ann Wilkinson 5500 Knoll N, Columbia, MD 21045 NURSE PRACTITIONER
Diana Wagner 5500 Knoll N Dr, Columbia, MD 21045 AUDIOLOGIST
Faye Grimes 8860 Columbia 100 Pkwy, Columbia, MD 21045 NURSE PRACTITIONER
Arleen Leis 9030 State Route 108, Columbia, MD 21045 CLINICAL SOCIAL WORKER
Vaughan Dabbs 8600 Snowden River Pkwy, Columbia, MD 21045 CHIROPRACTIC
Jennifer Schoo 8940 Route 108, Columbia, MD 21045 CLINICAL SOCIAL WORKER
Jonathan Calure 8860 Columbia 100 Pkwy, Columbia, MD 21045 CARDIAC SURGERY
Saba Sheikh 5450 Knoll N Dr -, Columbia, MD 21045 INTERNAL MEDICINE
Paul Short 6024 Charles Edward Terrace, Columbia, MD 21045 CLINICAL PSYCHOLOGIST
Todd Johnsonbaugh 8600 Snowden River Pkwy, Columbia, MD 21045 CHIROPRACTIC
Risa Kramer 5450 Knoll N Dr -, Columbia, MD 21045 FAMILY PRACTICE
Anne Thompson 5450 Knoll N Dr, Columbia, MD 21045 NURSE PRACTITIONER