Individual provider Active NPI

Daniel Moran, M.D.

  • Internal Medicine Physician
  • Danville, KY
National Provider Identifier
1508837436
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19025 Issued in KY
Practice address
478 Whirlaway Dr
Ste 100
Danville, KY 40422-9037
Phone
(859) 236-6613
Fax
(859) 236-3558
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19025 KY Primary

Addresses

Primary practice location

478 Whirlaway Dr
Ste 100
Danville, KY 40422-9037

Mailing address

478 Whirlaway Dr
Ste 100
Danville, KY 40422-9037
Phone (859) 236-6613

Other identifiers 5

IdentifierTypeStateIssuer
110043951OtherKYRAILROAD MEDICARE
64190K259MedicaidKY
000000003405OtherKYCHA
000000048971OtherKYBCBS
611124412OtherKYTAX ID

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

LicenseStateTypeSpecialty
19025KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Pathology Associates PLLP Current Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1508837436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 WHIRLAWAY DR",
            "address_2": "STE 100",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229037",
            "telephone_number": "859-236-6613",
            "fax_number": "859-236-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 WHIRLAWAY DR",
            "address_2": "STE 100",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229037",
            "telephone_number": "859-236-6613",
            "fax_number": "859-236-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110043951",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64190K259",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "000000003405",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000048971",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "611124412",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.