Active NPI
Joseph J Moravec, MD
- Plastic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1982680039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 35036275
- Practice address
- 1130 Congress Avenue
Cincinnati, OH 45246-4427 - Phone
- (513) 772-2442
- Fax
- (513) 772-2844
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 35036275 | OH | Primary |
Addresses
Primary practice location
1130 Congress Avenue
Cincinnati, OH 45246-4427
Mailing address
1130 Congress Avenue
Cincinnati, OH 45246-4427
Phone (513) 772-2442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64111111 | Medicaid | IN | |
| 0384301 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35036275 | OH | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1982680039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 CONGRESS AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464427",
"telephone_number": "513-772-2442",
"fax_number": "513-772-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CONGRESS AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464427",
"telephone_number": "513-772-2442",
"fax_number": "513-772-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVEC",
"first_name": "JOSEPH",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35036275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64111111",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384301",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.