DR. JOSE ANTONIO MORENO (NPI# 1255594198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255594198 |
| Entity Type | Individual |
| Full Name | DR. JOSE ANTONIO MORENO |
| Credential | MD |
| Practice Address |
1400 N Ritter Ave Suite 120 Indianapolis IN 46219-3052 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3173551000 |
| Practice Fax Number | 3173555440 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01074398A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 11014344A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201243820 | 05 | |
| IN | RAIL ROAD PTAN | P01424382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1598248429 | Jose Moreno | Technician | 4301 Beth Ave, Las Vegas, NV 89108-2801 | 2018-09-06 |
| 1669885794 | Jose Alex Moreno | Massage Therapist | 4021 Ivy Rd, Pasco, WA 99301-9925 | 2014-06-05 |
| 1427517242 | Jose Moreno | Behavioral Analyst | 12395 Lewis St Ste 202, Garden Grove, CA 92840-4694 | 2019-03-19 |
| 1497203897 | Jose Luis Moreno | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2016-09-14 |
| 1164877296 | Jose Antonio Moreno | Internal Medicine | 265 W Highway 50, Clermont, FL 34711-3027 | 2016-04-26 |
| 1386015899 | Jose Venegas Moreno | Marriage & Family Therapist | 160 E Virginia St, San Jose, CA 95112-5857 | 2015-10-09 |
| 1487726386 | Jose G. Moreno | Psychiatry & Neurology | 205 Ridgedale Ave, Florham Park, NJ 07932-1349 | 2006-11-15 |
| 1801820212 | Jose N Moreno | Allergy & Immunology | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-07-10 |
| 1699768184 | Jose G Moreno | Urology | 20 Sunnybrook Rd, Pottstown, PA 19464-3213 | 2005-08-30 |
| Street Address |
1400 N RITTER AVE SUITE 120 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527691 | Charles Brian Quick | Internal Medicine | 1400 N Ritter Ave, Suite 375b, Indianapolis, IN 46219-3052 | 2005-06-13 |
| 1558813097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1400 N Ritter Ave, Ste 140, Indianapolis, IN 46219-3045 | 2016-11-01 |
| 1962956789 | Stacie Cole | Physician Assistant | 1400 N Ritter Ave, Ste 375b, Indianapolis, IN 46219-3052 | 2016-08-10 |
| 1326494352 | Courtney Etherington | Registered Nurse | 1400 N Ritter Ave, Suite 375, Indianapolis, IN 46219-3052 | 2016-05-09 |
| 1316312275 | Meaghan Stutesman | Registered Nurse | 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 | 2015-12-03 |
| 1699158824 | Cara Yobbi | Genetic Counselor, MS | 1400 N Ritter Ave, Suite 485, Indianapolis, IN 46219-3052 | 2015-07-07 |
| 1760805949 | Kaitlin Jasmon | Physician Assistant | 1400 N Ritter Ave, Suite 375b, Indianapolis, IN 46219-3052 | 2014-01-24 |
| 1780020750 | Kathryn Ann Kennedy | Registered Nurse | 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 | 2013-05-17 |
| 1891131116 | Dessie M Vetter | Nurse Practitioner | 1400 N Ritter Ave, Suite 431, Indianapolis, IN 46219-3052 | 2013-05-14 |
| 1396083028 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 1400 N Ritter Ave, Suite 351, Indianapolis, IN 46219-3049 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1407293566 | Harry Dwight Brickley Jr. | Surgery | 1037 Tuckahoe, Indianapolis, IN 46260 | 2013-05-30 |
| 1992044572 | John Duncan Macdougall | Surgery | 7202 Dean Rd, Indianapolis, IN 46240-3628 | 2013-02-02 |
| 1548524176 | Jeffrey Lastfogel | Surgery | 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 | 2012-06-28 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| 1679832463 | Kalyan Chowdary Gorantla | Surgery | 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 | 2012-05-14 |
| 1124306824 | Amanda Rae Stram | Surgery | 1426 E Vermont St, Indianapolis, IN 46201-3045 | 2011-07-28 |
| 1790071280 | Sanjay Mohanty | Surgery | 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 | 2011-06-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on DR. JOSE ANTONIO MORENO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.