Organization Active NPI

William a Moran MD LLC

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1366538274
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036106016 Issued in IL
Legal business name
WILLIAM A MORAN MD LLC
Practice address
605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377
Phone
(847) 394-4930
Fax
(847) 394-8505
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
William A Moran, MD
Title
President
Phone
(847) 394-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036106016 IL Primary

Addresses

Primary practice location

605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377

Mailing address

605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377
Phone (847) 394-4930

Other identifiers 2

IdentifierTypeStateIssuer
036106016MedicaidIL
01633940OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

605 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-4930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1366538274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-394-4930",
            "fax_number": "847-394-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-394-4930",
            "fax_number": "847-394-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A MORAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-394-4930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106016",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01633940",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.