Organization Active NPI

Francisco G. Moreno, M.D., P.C.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1770767790
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000010436 Issued in TN
Legal business name
FRANCISCO G. MORENO, M.D., P.C.
Practice address
501 20TH St Ste 201
Knoxville, TN 37916-1850
Phone
(865) 546-2888
Fax
(865) 546-5606
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mrs. Sandra J. House
Title
Insurance, Credentialing
Phone
(865) 546-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD0000010436 TN Primary

Addresses

Primary practice location

501 20TH St Ste 201
Knoxville, TN 37916-1850

Mailing address

501 20TH St Ste 201
Knoxville, TN 37916-1850
Phone (865) 546-2888

Other identifiers 1

IdentifierTypeStateIssuer
3187241MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000703 TN Part B Supplier - Clinic/Group Practice 1658452511 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN; Sevierville, TN

National Provider Directory

National Provider Directory

Locations

501 20th St
Ste 201
Knoxville, TN 37916
Phone (865) 546-2888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1770767790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161850",
            "telephone_number": "865-546-2888",
            "fax_number": "865-546-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161850",
            "telephone_number": "865-546-2888",
            "fax_number": "865-546-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO G. MORENO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "INSURANCE, CREDENTIALING",
        "authorized_official_telephone_number": "865-546-2888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000010436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3187241",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.