Organization Active NPI

Antonio Moran Jr MD Facp PC

  • Medical Oncology Physician
  • Brunswick, GA
National Provider Identifier
1356513873
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
034669 Issued in GA
Legal business name
ANTONIO MORAN JR MD FACP PC
Practice address
2500 Starling St
Suite 303
Brunswick, GA 31520-4265
Phone
(912) 261-4998
Fax
(912) 261-4741
NPI assigned
Mar 25, 2008
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Mrs. Pamela Bennett
Title
Office Manager
Phone
(912) 261-4998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 034669 GA Primary

Addresses

Primary practice location

2500 Starling St
Suite 303
Brunswick, GA 31520-4265

Mailing address

2500 Starling St
Suite 303
Brunswick, GA 31520-4265
Phone (912) 261-4998

National Provider Directory

National Provider Directory

Locations

1111 Glynco Pkwy
Ste 200
Brunswick, GA 31525
Phone (912) 261-2355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1356513873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 303",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-261-4998",
            "fax_number": "912-261-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 303",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-261-4998",
            "fax_number": "912-261-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO MORAN JR MD FACP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-261-4998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "034669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.