Individual provider Active NPI

Thomas Joseph Moran, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Virginia Beach, VA
National Provider Identifier
1326049214
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0102050069 Issued in VA
Practice address
3177 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone
(757) 646-0742
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0102050069 VA Primary

Addresses

Primary practice location

3177 Stonewood Dr
Virginia Beach, VA 23456-1563

Mailing address

3177 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone (757) 646-0742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221213002123 VA Practitioner - Anesthesiology 6103064670 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102050069VAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Group, LLC Pain Medicine CurrentSince Nov 1, 2022 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

1200 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-4870

828 Healthy Way
Virginia Beach, VA 23462
Phone (757) 363-6100

828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200

Organizations & group practices 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1326049214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 STONEWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561563",
            "telephone_number": "757-646-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 STONEWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561563",
            "telephone_number": "757-646-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0102050069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.