Organization Active NPI

Moorthy Medical Associates, LLC

  • Neurological Surgery Physician
  • Fairfield, OH
National Provider Identifier
1003917154
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Nov 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Palanivel G Moorthy, MDNPI 1376564849
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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA5393OtherOHRR MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.