Active NPI
Jason James Moran, RN
- Public Health & General Preventive Medicine Physician
- Magnolia, TX
National Provider Identifier
1588122774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 929336
- Practice address
- 38706 Sugar Wood Dr
Magnolia, TX 77355-2621 - Phone
- (713) 331-5461
- NPI assigned
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 929336 | TX | Primary |
Addresses
Primary practice location
38706 Sugar Wood Dr
Magnolia, TX 77355-2621
Mailing address
38706 Sugar Wood Dr
Magnolia, TX 77355-2621
Phone (713) 331-5461
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 929336 | TX | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardium LLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- jason.moran@vh-tx1.direct.office.nextgen.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1588122774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38706 SUGAR WOOD DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773552621",
"telephone_number": "713-331-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38706 SUGAR WOOD DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773552621",
"telephone_number": "713-331-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JASON",
"middle_name": "JAMES",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "929336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.