Individual provider Active NPI

Muna Michelle Orra, D.O,

  • Family Medicine Physician
  • Westlake, OH
National Provider Identifier
1730474040
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34011607 Issued in OH
Practice address
29099 Health Campus Dr Ste 370
Westlake, OH 44145-5226
Phone
(908) 431-9911
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34011607 OH Primary

Addresses

Primary practice location

29099 Health Campus Dr Ste 370
Westlake, OH 44145-5226

Mailing address

29099 Health Campus Dr Ste 370
Westlake, OH 44145-5226

Other identifiers 1

IdentifierTypeStateIssuer
0160209MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34011607OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1730474040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 370",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 370",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455226",
            "telephone_number": "908-431-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRA",
        "first_name": "MUNA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160209",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.