Edward Moran Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Fort Gay, WV
NPI 1992910830 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1992910830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22569 (WV)
- Practice address
- 71 Wayne St
Fort Gay, WV 25514-8518 - Phone
- (304) 648-5544
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Health Systems, Inc
Practice addresses (Care Compare)
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
6350 US Route 60 E
Barboursville, WV 25504-1232
Phone (304) 399-3350
Hospital & facility affiliations
- St Mary'S Home Health Service
- Cabell Huntington Hospital, Inc
- Three Rivers Medical Center
- King'S Daughters' Medical Center
- St Marys Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091015000463 | WV | Practitioner - Internal Medicine | 2163568536 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22569 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Pediatrics | Current |
Accepting new patients |
| Valley Health Systems Inc | Current |
Accepting new patients | |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Past | Accepting new patients | |
| Valley Health Systems Inc | General Practice | Past | Accepting new patients |
Locations
6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350
71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544
85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040
Interoperability endpoints
- emoran20041@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22569 | WV | |
| General Practice Physician | 208D00000X | 22569 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 22569 | WV | Yes |
Addresses
Primary practice location
71 Wayne St
Fort Gay, WV 25514-8518
Mailing address
P.O. Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396
Other practice location 1
85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810012069 | Medicaid | WV | |
| 001709560 | Other | WV | MT. STATE BC/BS |
| 7100061120 | Medicaid | KY | |
| 3002119 | Medicaid | OH | |
| 00767779 | Other | WV | RR |
Other providers in Fort Gay, WV
- Thomas Sebastian Marcum
- Ella Victoria Maynard
- Baileigh Nycole McKenzie
- Karen Jean Minney
- Korey Blake Mitchell
- Chasity Mullens
- Syndey Paige Mullins
- Jada Leetta Muncy
- Jenna Leann Murray
- Joe Ann Parsons
All providers in Fort Gay, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.