Active NPI
Stephan G. Moran, MD
- Surgical Critical Care Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 00021195
- Practice address
- 201 Sivley Rd SW
Suite 400
Huntsville, AL 35801-5134 - Phone
- (256) 265-2895
- Fax
- (256) 265-9777
- NPI assigned
- Feb 21, 2006
- Last updated
- Jul 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 00021195 | AL | Primary |
| Trauma Surgery Physician | 2086S0127X | 00021195 | AL |
Addresses
Primary practice location
201 Sivley Rd SW
Suite 400
Huntsville, AL 35801-5134
Mailing address
PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-4595
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4086146 | Other | TN | BCBS |
| 051520526 | Other | AL | BCBS |
| 4046898 | Medicaid | TN | |
| 009947965 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021195 | AL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Alabama Specialty Hospital | Current | Accepting new patients | |
| The Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| North Alabama Specialty Hospital | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Surgical Critical Care | Past | Accepting new patients |
| The Health Care Authority for Baptist Health | Past | Accepting new patients |
Locations
107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
2055 E South Blvd
Ste 601
Montgomery, AL 36116
Phone (334) 281-9000
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
1000 Chinaberry Dr
Ste 200
Bossier City, LA 71111
Interoperability endpoints
- stephen.moran@direct.baptistfirst.org
Organizations & group practices 6
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.
-
- Long Term Care Hospital
- Huntsville, AL
- NPI 1942693973
-
dba Montgomery Primary Medicine Associates
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Long Term Care Hospital
- Huntsville, AL
- NPI 1831634989
-
dba Alabama Liver and Digestive Specialists
- Specialist
- Montgomery, AL
- NPI 1922129618
-
dba Baptist Health Care Partners
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
Surgical Critical Care
-
dba Baptist Medical Center South - Wound Care
- Clinic/Center
- Montgomery, AL
- NPI 1538347067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1417922683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358042705",
"telephone_number": "256-265-4595",
"fax_number": "256-265-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SIVLEY RD SW",
"address_2": "SUITE 400",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015134",
"telephone_number": "256-265-2895",
"fax_number": "256-265-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "STEPHAN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "AL",
"license": "00021195",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "AL",
"license": "00021195",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4086146",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051520526",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4046898",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009947965",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.