Martin J. Moran Sr., D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-009468-L Issued in PA

Legal business name

MARTIN J. MORAN SR., D.O., P.C.

Practice address

824 McAlpine St
Avoca, PA 18641-1140

Phone

(570) 457-7493

Fax

(570) 457-6710

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Rosemary Gnall

Title

Office Manager

Phone

(570) 457-7493

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin J Moran Sr., DO

  • Family Medicine Physician
  • Dunmore, PA
  • NPI 1952398828
  Medicare reassignment NPD
• Martin F Moran, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1891771002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1992991764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411140",
            "telephone_number": "570-457-7493",
            "fax_number": "570-457-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411140",
            "telephone_number": "570-457-7493",
            "fax_number": "570-457-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J. MORAN SR., D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "GNALL",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-457-7493"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-009468-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001750669001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "026130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Kosik, MHA, PA-C
• Llewellyn'S LTC
• Llewellyns Inc
• Llewellyns Inc
• Peter J Loiacono, DDS
• Chris Allen Merithew
• Michael G. Mulea PT in Home Therapy Services
• Molly Mika
• Michael Gary Mulea, L.P.T
• Kelly Mullins, SLP

• Family Medicine Physician in Avoca, PA
• Providers in Avoca, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.

Verify at the official NPI Registry.