Active NPI
Moorthy Medical Associates, LLC
- Neurological Surgery Physician
- Fairfield, OH
National Provider Identifier
1003917154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MOORTHY MEDICAL ASSOCIATES, LLC
- Practice address
- 311 Nilles Rd
Ste G
Fairfield, OH 45014-2636 - Phone
- (513) 858-6555
- Fax
- (513) 858-6222
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Palanivel G Moorthy, MD
- Title
- Owner
- Phone
- (513) 858-6555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
311 Nilles Rd
Ste G
Fairfield, OH 45014-2636
Mailing address
PO Box 643273
Cincinnati, OH 45264-0307
Phone (513) 891-2813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA5393 | Other | OH | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
311 Nilles Rd
Ste G
Fairfield, OH 45014
Phone (513) 858-6555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fairfield, OH
- NPI 1376564849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1003917154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643273",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640307",
"telephone_number": "513-891-2813",
"fax_number": "513-793-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 NILLES RD",
"address_2": "STE G",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142636",
"telephone_number": "513-858-6555",
"fax_number": "513-858-6222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORTHY MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "MOORTHY",
"authorized_official_first_name": "PALANIVEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-858-6555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA5393",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.