Joseph Michael Moran

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002279 Issued in OH

Legal business name

JOSEPH MICHAEL MORAN

Practice address

210 Mound St
Lebanon, OH 45036-1937

Phone

(513) 932-4961

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Joseph M Moran, DPMNPI 1003819848

Title

DPM Owner

Phone

(513) 932-4961

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Joseph M Moran, DPM

  • Podiatrist
  • Lebanon, OH
  • NPI 1003819848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1376731513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450360343",
            "telephone_number": "513-932-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOUND ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361937",
            "telephone_number": "513-932-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MICHAEL MORAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DPM OWNER",
        "authorized_official_telephone_number": "513-932-4961",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0867147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.