Active NPI
Henry H Moran, MD
- Diagnostic Radiology Physician
- Nashville, TN
National Provider Identifier
1366556540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30816
- Practice address
- 1310 24TH Ave S # 114
Nashville, TN 37212 - Phone
- (615) 873-7810
- Fax
- (615) 873-8321
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 30816 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S # 114
Nashville, TN 37212
Mailing address
1310 24TH Ave S # 114
Nashville, TN 37212-2637
Phone (615) 873-7810
Other practice location 1
620 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 452-9470 ext. 100
Other practice location 2
620 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 452-9470 ext. 100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30816 | TN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1366556540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVE S # 114",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-7810",
"fax_number": "615-873-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S # 114",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-873-7810",
"fax_number": "615-873-8321"
}
],
"practiceLocations": [
{
"address_1": "620 Hartsville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370662523",
"country_code": "US",
"telephone_number": "615-452-9470 x100",
"fax_number": "615-452-7796",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Hartsville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370662523",
"country_code": "US",
"telephone_number": "615-452-9470 x100",
"fax_number": "615-452-7796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "HENRY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "30816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.