Active NPI
Martin F Moran, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
National Provider Identifier
1891771002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN324658L
- Practice address
- 2301 S Broad St
1St Floor
Philadelphia, PA 19148-3542 - Phone
- (215) 952-9323
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN324658L | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
1St Floor
Philadelphia, PA 19148-3542
Mailing address
2301 S Broad St
1St Floor
Philadelphia, PA 19148-3542
Phone (215) 952-9323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001968600 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Pennsylvania, LLC | Anesthesiology | Current | Accepting new patients |
| Martin J. Moran Sr., D.O., P.C. | Past | Accepting new patients | |
| Professional Anesthesia Consultants, PC | Anesthesiology | Past | Accepting new patients |
| Hamilton Gastroenterology Group, P.C. | Past | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
-
- Family Medicine Physician
- Avoca, PA
- NPI 1992991764
-
- Specialist
- Hamilton, NJ
- NPI 1619924990
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1841273869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1891771002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MARTIN",
"middle_name": "F",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN324658L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001968600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.