Active NPI
Ruth E. Moran, M.D.
- Body Imaging Physician
- Richmond, VA
National Provider Identifier
1063564375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 0101049596
- Practice address
- 9105 Stony Point Dr
Richmond, VA 23235-1999 - Phone
- (804) 521-8713
- Fax
- (804) 282-6567
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 0101049596 | VA | Primary |
Addresses
Primary practice location
9105 Stony Point Dr
Richmond, VA 23235-1999
Mailing address
4540 Mockernut LN
Earlysville, VA 22936-9698
Phone (434) 973-6449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200579 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049596 | VA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Virginia Urology Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1033138250
-
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- Richmond, VA
- NPI 1164485876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1063564375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 MOCKERNUT LN",
"city": "EARLYSVILLE",
"state": "VA",
"postal_code": "229369698",
"telephone_number": "434-973-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 STONY POINT DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351999",
"telephone_number": "804-521-8713",
"fax_number": "804-282-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "RUTH",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "VA",
"license": "0101049596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200579",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.