Individual provider Active NPI

Joseph Rodney Moring, M.D.

  • Emergency Medicine Physician
  • Ellisville, MS
National Provider Identifier
1255364337
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9526 Issued in MS
Practice address
1101 Highway 11 S
Ellisville, MS 39437-4443
Phone
(601) 477-5772
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9526 MS Primary

Addresses

Primary practice location

1101 Highway 11 S
Ellisville, MS 39437-4443

Mailing address

1101 Highway 11 S
Ellisville, MS 39437-4443
Phone (601) 477-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20121001000055 MS Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 9638142698

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9526MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Pecan Grove Past Accepting new patients
Vicksburg Healthcare LLC Emergency Medicine Past Accepting new patients
Marion General Hospital Past Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Meridian Hma LLC Past Accepting new patients
Miss-Lou Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1255364337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY 11 S",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394374443",
            "telephone_number": "601-477-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY 11 S",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394374443",
            "telephone_number": "601-477-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORING",
        "first_name": "JOSEPH",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MS

Sources for this page

Verify at the official NPI Registry.