Active NPI
Jon F Moran, MD
- Surgery Physician
- Greenville, NC
National Provider Identifier
1558355651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9500159
- Practice address
- 115 Heart Dr Dept of
Ecu Physicians Cardiology
Greenville, NC 27834-8944 - Phone
- (252) 744-4400
- Fax
- (252) 744-3987
- NPI assigned
- Sep 2, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9500159 | NC | Primary |
Addresses
Primary practice location
115 Heart Dr Dept of
Ecu Physicians Cardiology
Greenville, NC 27834-8944
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8960567 | Medicaid | NC | |
| 60567 | Other | NC | BCBS NC |
| 330004171 | Other | NC | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 9500159 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1558355651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069",
"telephone_number": "252-744-3253",
"fax_number": "252-744-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HEART DR DEPT OF",
"address_2": "ECU PHYSICIANS CARDIOLOGY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348944",
"telephone_number": "252-744-4400",
"fax_number": "252-744-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JON",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9500159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8960567",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "60567",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "330004171",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.