Individual provider Active NPI

Scott Moradian, D.O.

  • Surgery Physician
  • South Miami, FL
National Provider Identifier
1245654474
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
UO3806 Issued in FL
Practice address
6140 SW 70TH St FL 2
South Miami, FL 33143-3419
Phone
(305) 284-7577
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X UO3806 FL Primary

Addresses

Primary practice location

6140 SW 70TH St FL 2
South Miami, FL 33143-3419

Mailing address

6140 SW 70TH St FL 2
South Miami, FL 33143-3419
Phone (305) 284-7577

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
UO3806FLMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1245654474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST FL 2",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST FL 2",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADIAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "UO3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.