Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tim I Moomaw, NP

Individual provider Nurse Practitioner · NPI 1386035954

Tim I Moomaw, NP is a Nurse Practitioner in Gallipolis, Ohio. Qualified in 2014, 12 years ago. Practices with Bloomington Medical Services LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone: (740) 446-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence COA.17111-NP (OH)

Record details

NPI number1386035954
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESFebruary 18, 2015
Mailing address75 Remit Dr, 1367, Chicago, IL 60675-1367

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bloomington Medical Services Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gallipolis