Organization Active NPI

J Moran & Associates Foot & Ankle Clinic PA

  • Clinic/Center
  • Tomball, TX
National Provider Identifier
1891978326
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1520 Issued in TX
Legal business name
J MORAN & ASSOCIATES FOOT & ANKLE CLINIC PA
Practice address
13406 Medical Complex Dr
Ste 140
Tomball, TX 77375-3330
Phone
(281) 290-0400
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Mr. Jeremy Scott Moran, DPM
Title
Podiatric Surgeon
Phone
(281) 290-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1520 TX Primary

Addresses

Primary practice location

13406 Medical Complex Dr
Ste 140
Tomball, TX 77375-3330

Mailing address

13406 Medical Complex Dr Ste 140
Tomball, TX 77375-3330
Phone (281) 290-0400

Other identifiers 1

IdentifierTypeStateIssuer
043774102MedicaidTX

National Provider Directory

National Provider Directory

Locations

24914 State Highway 249
Ste 180
Tomball, TX 77375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16376/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1891978326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR STE 140",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753330",
            "telephone_number": "281-290-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR",
            "address_2": "STE 140",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753330",
            "telephone_number": "281-290-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MORAN & ASSOCIATES FOOT & ANKLE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PODIATRIC SURGEON",
        "authorized_official_telephone_number": "281-290-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043774102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.