Edward Richard Moran Jr., MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD20894 Issued in TN

Practice address

5959 Park Avenue
St Francis Hospital
Memphis, TN 38119-5198

Phone

(901) 432-0173

Fax

(901) 854-1585

NPI assigned

Nov 8, 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 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588734727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382927",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381882927",
            "telephone_number": "901-432-0173",
            "fax_number": "901-854-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 PARK AVENUE",
            "address_2": "ST FRANCIS HOSPITAL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195198",
            "telephone_number": "901-432-0173",
            "fax_number": "901-854-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "EDWARD",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD20894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076704",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3126765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdelrahman Asaad Morad, DPT
• Olawale Adetayo Morafa, MD
• Joudeline Morales-Santoyo, PA
• Ivysmeralys Morales, MA
• Vincent George Morales
• Lauren Moran, DPT
• Darius William Moravian
• More 901 LLC
• Lamar Houston Moree III, M.D.
• Daniel C Moreira Ridsdale, M.D.

• Anesthesiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.