Marilyn O Mora, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16183 Issued in MS

Practice address

17614 Fossil Ridge LN
Humble, TX 77346-1582

Phone

(228) 806-6773

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cenla Chiropractic & Wellness

  • Chiropractor
  • Pineville, LA
  • NPI 1356533251
  NPD (past)
• Gulf Coast Internal Medicine PLLC

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1164450359
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1669539870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17614 FOSSIL RIDGE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461582",
            "telephone_number": "228-806-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17614 FOSSIL RIDGE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461582",
            "telephone_number": "228-806-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "MARILYN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07504850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusharme Moore
• Joan Moore
• Kelly Moore, O.D.
• Latynia Ranae Moore, LCSW
• Phyilicia Moore
• Morability Transportation Services Nemt
• Percy Francisco Morales, MD
• Nastasha Y Morant, MS, MA
• Jose Luis Morel Santos, NP
• Whitney Rose Morelli, MT-BC

• Internal Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.