Ron Alan Moore, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

349292 Issued in OH

Practice address

4960 Hiddenview CT
North Ridgeville, OH 44039-5015

Phone

(440) 225-9443

NPI assigned

Dec 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1821532540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 HIDDENVIEW CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395015",
            "telephone_number": "440-225-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 HIDDENVIEW CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395015",
            "telephone_number": "440-225-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RON",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "349292",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "349292",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "OH",
            "license": "349292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Miske, O.D.
• Mobile Labs Pro
• Laureta Mocka
• Diane Mohr
• Derrick M Monono
• Laura Morabito, PC
• Gail D Morrison, SLP
• Michelle Mulkins
• Jeffrey Mullins
• Stephanie Mullins

• Medical-Surgical Registered Nurse in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Medical-Surgical Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.