Basic Information
Provider Information
NPI: 1568782746
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOYER
FirstName: SARAH
MiddleName: SCHUSTER
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 E CHESTNUT ST UNIT 170
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402025701
CountryCode: US
TelephoneNumber: 5028527449
FaxNumber:  
Practice Location
Address1: 310 W LIBERTY ST STE 600
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023017
CountryCode: US
TelephoneNumber: 5028527449
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2010
LastUpdateDate: 07/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X46217KYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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