Michelle Ruth Moran, MD

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

8052247-1205 Issued in UT

Practice address

474 W. 200 North, Ste 200
Southwest Behavioral Health Center
Saint George, UT 84770

Phone

(435) 634-5600

NPI assigned

Sep 27, 2006

Last updated

Apr 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michelle Moran MD PC

  • Prescribing (Medical) Psychologist
  • Colorado Springs, CO
  • NPI 1982885976
  NPD (past) Authorized official
• State of Wyoming

  dba Wyoming State Hospital

  • Psychiatric Hospital
  • Evanston, WY
  • NPI 1316011562
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1336230911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820387",
            "city": "VEYO",
            "state": "UT",
            "postal_code": "847820387",
            "telephone_number": "719-439-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W. 200 NORTH, STE 200",
            "address_2": "SOUTHWEST BEHAVIORAL HEALTH CENTER",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-634-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHELLE",
        "middle_name": "RUTH",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "7964A",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WY",
            "license": "7964A",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "UT",
            "license": "8052247-1205",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "UT",
            "license": "8052247-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10686045",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127253500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rusty A Moore, DO
• Scott Moore
• William Birch Moore, PHARMACIST
• Gladys Morales
• Katherine Moran
• Monica Patricia Moreno Daza, M.D.
• Laura Moreno
• Lene Morford
• Amy Morgan
• Eniola Olubukonla Morgan, NP

• Behavioral Neurology & Neuropsychiatry Physician in St George, UT
• Providers in St George, UT by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.