Ana Moraresco, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351051140 Issued in MI

Practice address

Gme Dept, 1 Genesys Parkway, Suite 2620
Grand Blanc, MI 48439

Phone

(612) 900-6914

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1114601069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15638 68TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "612-900-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GME DEPT, 1 GENESYS PARKWAY, SUITE 2620",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "612-900-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORARESCO",
        "first_name": "ANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351051140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianne Elizabeth Moore, D.O.
• Peggy Moore II, NURSE PRACTIONER
• Alicia Morales, DO
• Javier Morales, DO
• Suzanne Moran
• James F Morath, DDS
• Daniel Morey, LPC
• Mary Moritz, LMSW
• Mark W Morningstar II, D.C.
• John Scott Morrill I

• Internal Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.