Active NPIIndividual provider

Dr. Shirlene T Moten, MD

Family Medicine in Manchester, Pennsylvania

NPI Number1235271040
Practice location
4314 N. George St Ext'D, Manchester, PA 17345-1307
Fax
717-266-2199
Last updated
March 5, 2021

Shirlene Tolbert Moten is a Family Medicine based in Manchester, PA. Shirlene Tolbert Moten practices in Manchester, PA and has the professional credentials of MD. The NPI Number for Shirlene Tolbert Moten is 1235271040 and holds a License No. 0101054986 (VA). The current practice location address for Shirlene Tolbert Moten is 4314 N. George St Ext'D, Manchester, PA 17345-1307 and can be reached out via phone at 717-266-0252 and via fax at 717-266-2199.

Provider Profile Details

NPI Number
1235271040
Provider Name
Shirlene Tolbert Moten
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4314 N. George St Ext'D, Manchester, PA 17345-1307
Phone Number
717-266-0252
Fax Number
717-266-2199
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2007
Last Update Date
March 5, 2021
Certification Date
March 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4314 N. George St Ext'D
Manchester, PA 17345-1307
Zip
17345-1307
Phone Number
717-266-0252
Fax Number
717-266-2199
Manchester, PA 17345Get directions →

Provider Business Mailing Address Details

Address
4314 N. George St Ext'D
Manchester, PA 17345-1307
City
Manchester
State
PA
Zip
17345-1307
Phone Number
717-266-0252
Fax Number
717-266-2199

License Information

License Number (1)
0101054986
License State (1)
VA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MA05551200
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
MD048444L
License State (3)
PA
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shirlene T Moten, MD?

The NPI number of Dr. Shirlene T Moten, MD is 1235271040. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Shirlene T Moten, MD?

Dr. Shirlene T Moten, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0101054986.

Where does Dr. Shirlene T Moten, MD practice?

The practice location is 4314 N. George St Ext'D, Manchester, PA 17345-1307. The office can be reached at 717-266-0252 (phone) or 717-266-2199 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235271040 directly on the NPPES registry website.

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