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

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
Show map & directions

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

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