Active NPI
Lisa Moreno-Walton, MD
- Emergency Medicine Physician
- Mobile, AL
National Provider Identifier
1184790610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.49838
- Practice address
- 2451 University Hospital Dr
Mobile, AL 36617-2300 - Phone
- (251) 471-7000
- Fax
- (251) 471-7096
- NPI assigned
- Nov 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 191026 | NY | |
| Emergency Medicine Physician | 207P00000X | 2022-02833 | NC | |
| Emergency Medicine Physician | 207P00000X | MD.49838 | AL | Primary |
Addresses
Primary practice location
2451 University Hospital Dr
Mobile, AL 36617-2300
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.49838 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Emergency Medicine | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Past | Accepting new patients | |
| Lincon Medical and Mental Center | Past | Accepting new patients | |
| Keith Van Meter & Associates | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Emergency Medicine
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Multi-Specialty Clinic/Center
- Bay St. Louis, MS
- NPI 1093811051
-
- Critical Access Hospital
- Bronx, NY
- NPI 1902979651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1184790610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746450",
"telephone_number": "866-401-3057",
"fax_number": "318-868-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 UNIVERSITY HOSPITAL DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172300",
"telephone_number": "251-471-7000",
"fax_number": "251-471-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO-WALTON",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "191026",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2022-02833",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.49838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.