Ronald Clifford Moomaw, D.O.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

N6503 Issued in TX

Practice address

6839 Communications Pkwy
Plano, TX 75024-5991

Phone

(972) 733-7242

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

Ohio University, College of Osteopathic Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Smart Neuro Health and Wellness Professionals Texas PAGroup PAC ID 8921401829, 15 clinicians

Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronald.moomaw@hca7.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smart Neuro Health & Wellness Professionals Texas PA

  • Other Technician
  • Plano, TX
  • NPI 1619341492
  Medicare reassignment Care Compare group NPD
• Bent Tree Psychiatric Assoc

  • Psychiatry Physician
  • Plano, TX
  • NPI 1447225420
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1760504823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAKEWOOD LN",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863432",
            "telephone_number": "614-205-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "972-733-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Gemini St",
            "address_2": "Wyle integrated science",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770582745",
            "country_code": "US",
            "telephone_number": "281-212-1257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOMAW",
        "first_name": "RONALD",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-03169",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "N6503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER OHIO",
            "identifier": "34003169",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06253415",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "N6503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS TEXAS",
            "identifier": "V0174052",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Renee Montoya, LCSW
• Raylea Montz, MCN, RDN, LD
• Macy Moody, CSFA
• Tatum Marie Moog
• Grace Marie Mooken, M.D.
• Amna Munawar Soomro Moon, CCC-SLP
• Daniel Hyun Joon Moon, DDS
• Deborah Ann Moon, O.D.
• John Moon III, M.D.
• Devin Mooney

• Occupational Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.