Individual provider Active NPI

Zaira Joanna Moreno, MD

  • Obstetrics & Gynecology Physician
  • Brandon, FL
National Provider Identifier
1750401642
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME101468 Issued in FL
Practice address
515 S Kings Ave Ste 3000
Brandon, FL 33511-6060
Phone
(813) 681-6625
Fax
(813) 684-6043
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55381 WI
Obstetrics & Gynecology Physician 207V00000X ME101468 FL Primary

Addresses

Primary practice location

515 S Kings Ave Ste 3000
Brandon, FL 33511-6060

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

116 Parsons Park Dr
Brandon, FL 33511-6066
Phone (813) 681-6625

Other identifiers 1

IdentifierTypeStateIssuer
JQ109OtherFLMEDICARE

Other names 1

  • Zaira Joanna Moreno-Villamizar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000373 FL Practitioner - Obstetrics/Gynecology 6608949714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

515 S Kings Ave
Suite 3000
Brandon, FL 33511-5921
Phone (813) 681-6625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101468FLMDObstetrics & Gynecology Physician
55381WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Jun 13, 2019 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jun 13, 2019 Accepting new patients

Locations

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

515 S Kings Ave
Ste 3000
Brandon, FL 33511
Phone (813) 681-6625

1733 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-1528

1729 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 686-0082

16301 Fishhawk Blvd
Ste 102
Lithia, FL 33547
Phone (813) 530-4180

2108 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 752-4103

6606 Simmons Loop
Ste 200
Riverview, FL 33578

13149 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 675-8326

6606 Simmons Loop
Riverview, FL 33578
Phone (813) 574-1350

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: zaira.moreno@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: zaira.moreno.1@18417.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1750401642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KINGS AVE STE 3000",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116060",
            "telephone_number": "813-681-6625",
            "fax_number": "813-684-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Parsons Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116066",
            "country_code": "US",
            "telephone_number": "813-681-6625",
            "fax_number": "813-684-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ZAIRA",
        "middle_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "55381",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME101468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JQ109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAIRA",
            "last_name": "MORENO-VILLAMIZAR",
            "middle_name": "JOANNA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.