Individual provider Active NPI

Lynn Nicole Moran, D.O.

  • Cardiovascular Disease Physician
  • Bethlehem, PA
National Provider Identifier
1104978469
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS013372 Issued in PA
Practice address
1469 8TH Ave
Bethlehem, PA 18018-2256
Phone
(610) 419-7800
Fax
(610) 419-7810
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013372 PA
Cardiovascular Disease Physician 207RC0000X OS013372 PA Primary

Addresses

Primary practice location

1469 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (610) 419-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000379 PA Practitioner - Cardiovascular Disease (Cardiology) 5496835100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1425 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-2229

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 503-8281

17 W Broad St
Tamaqua, PA 18252-1977

1700 St Lukes Blvd
Easton, PA 18045-5670

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

360 W Riddle St
Coaldale, PA 18218-1027

487 E Moorestown Rd
Wind Gap, PA 18091-9662

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

701 Ostrum St
Fountain Hill, PA 18015-1184

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2011 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Hospital Current Accepting new patients
Gslpg, Inc CurrentSince Apr 20, 2022 Accepting new patients
St. Luke'S Hospital CurrentSince Oct 14, 2014 Accepting new patients
St Luke'S Hospital CurrentSince Oct 14, 2014 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 1, 2011 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Hospital Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

1469 8th Ave
Bethlehem, PA 18018
Phone (610) 419-7800

1700 St Lukes Blvd
Ste 301
Easton, PA 18045
Phone (484) 503-0500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: lynn.moran@slpg.direct-sluhn.org

Organizations & group practices 10

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1307664000000",
    "number": "1104978469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "610-419-7800",
            "fax_number": "610-419-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "610-419-7800",
            "fax_number": "610-419-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LYNN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013372",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS013372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.