George Gaw Moran, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036-057691 Issued in IL

Practice address

5201 Willow Springs Rd
Suite 380
La Grange Highlands, IL 60525-6537

Phone

(708) 354-2550

Fax

(708) 354-4552

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1417960758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "SUITE 380",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-2550",
            "fax_number": "708-354-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "address_2": "SUITE 380",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-2550",
            "fax_number": "708-354-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "GEORGE",
        "middle_name": "GAW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-057691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Joseph Moran, M.D.
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• Scott M Multack, D.O.
• Northwest Professional Hearing Centers, Inc.
• Saba Farhin Osmani, MD

• Urology Physician in La Grange Highlands, IL
• Providers in La Grange Highlands, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.