Active NPI
Johanna Niroshini Moses, PA-C, MPH
- Physician Assistant
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2213
- Practice address
- 901 N Porter Ave
Norman, OK 73071-6404 - Phone
- (405) 307-1000
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-004725 | VA | |
| Physician Assistant | 363A00000X | 2213 | OK | Primary |
Addresses
Primary practice location
901 N Porter Ave
Norman, OK 73071-6404
Mailing address
901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1000
Other practice location 1
100 Fairview Dr
Franklin, VA 23851-1238
Phone (405) 219-5320
Other names 1
- Ms. Johanna Niroshini Ephraim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2416
Phone (405) 768-5749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-004725 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Immediate Care of Oklahoma, LLC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients |
Locations
11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
Organizations & group practices 6
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1558816850
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Urgent Care Clinic/Center
- Oklahoma City, OK
- NPI 1164697694
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Urgent Care Clinic/Center
- Tecumseh, OK
- NPI 1588266753
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1942540836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716404",
"telephone_number": "405-307-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716404",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [
{
"address_1": "100 Fairview Dr",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "VA",
"postal_code": "238511238",
"country_code": "US",
"telephone_number": "405-219-5320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSES",
"first_name": "JOHANNA",
"middle_name": "NIROSHINI",
"name_prefix": "Mrs.",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-004725",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHANNA",
"last_name": "EPHRAIM",
"middle_name": "NIROSHINI",
"prefix": "MS.",
"credential": "PA-C, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.