DR. JOHN R MORAN (NPI# 1497880355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497880355 |
| Entity Type | Individual |
| Full Name | DR. JOHN R MORAN |
| Credential | M.D. |
| Practice Address |
12101 Ambaum Blvd Sw Burien WA 98146-2651 |
| Practice Telephone | 2062448100 |
| Practice Fax Number | 2064319142 |
| Mailing Telephone | 2062448100 |
| Mailing Fax Number | 2064319142 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD00004675 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932345634 | John James Moran Jr. | Chiropractor | 6829 W 76th St, Overland Park, KS 66204-3082 | 2008-12-30 |
| 1093914079 | John A Moran | Psychologist | 7500 E Mcdonald Dr # 400a, Scottsdale, AZ 85250-6052 | 2007-07-11 |
| 1013139914 | John J Moran | Dentist | 2102 Campbell St., Sandusky, OH 44870 | 2007-05-02 |
| 1336263359 | John Christopher Moran | Specialist | 6819 20th St N, Saint Petersburg, FL 33702-6440 | 2007-03-16 |
| 1114068665 | John P Moran | Occupational Therapist | 32 Indian Rock Rd, Unit 4, Windham, NH 03087-1608 | 2007-02-09 |
| 1659410041 | John Christopher Moran | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-05 |
| 1255430823 | John Patrick Moran | Family Medicine | 4175 S Alamo Ave Bldg 400, 355 Medical Group, Davis Monthan Afb, AZ 85707-6097 | 2006-09-21 |
| 1093706608 | John Moran | Nurse Anesthetist, Certified Registered | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2005-11-02 |
| 1073508453 | John K Moran | Radiology | 10800 Knights Rd, Attn: Radiology, Philadelphia, PA 19114-4200 | 2005-09-13 |
| 1700879756 | John A Moran | Ophthalmology | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 | 2005-08-24 |
| Street Address |
12101 AMBAUM BLVD SW |
| City | BURIEN |
| State | WA |
| Zip Code | 98146-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164538062 | Duffy I, Lp | Rehabilitation Hospital | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2006-08-22 |
| 1316421803 | R Tyler Reidenbaugh Md Pllc | Substance Abuse Rehabilitation Facility | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2018-09-20 |
| 1487097762 | Robert Tyler Reidenbaugh | Psychiatry & Neurology | 12101 Ambaum Blvd Sw, Burien, WA 98146 | 2013-04-16 |
| 1588832257 | Duffy Physicians, P.s. | Special Hospital | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998946 | Vinh T Nguyen | Pharmacist | 10248- 17th Ave Sw, Seattle, WA 98146 | 2018-07-13 |
| 1386032233 | Bowie James Mclean | Counselor | 480 Sw 134th St, Burien, WA 98146 | 2014-12-30 |
| 1518367200 | Joy Hilliker | Counselor | 10803 44th Ave Sw, Seattle, WA 98146 | 2014-08-29 |
| 1841534344 | Phuonglinh Tran | Speech-Language Pathologist | 10811 12th Avenue Southwest, Seattle, WA 98146 | 2012-11-21 |
| 1174867741 | Dorothy Winkler Phelps | Registered Nurse | 2725 Sw116th Street, Burien, WA 98146 | 2012-11-20 |
| 1578829529 | Aaron Thomas Kent | Massage Therapist | 304 Sw 106th St, Seattle, WA 98146 | 2012-04-04 |
| 1154651933 | Robert Anthony Yap | Nurse Practitioner | 12459 Ambaum Blvd S.w., Unit A, Burien, WA 98146 | 2009-12-30 |
| 1952536690 | Renee Dorothea Patterson | Massage Therapist | 11645 23rs Ave Sw, Seattle, WA 98146 | 2009-05-26 |
| 1518125368 | Leeanne Casal | Massage Therapist | 10223 16th Sw, Seattle, WA 98146 | 2008-05-29 |
| 1629299474 | Bryn Annette Karlberg | Massage Therapist | 12263 Shorewood Drive Sw, Seattle, WA 98146 | 2007-05-01 |
| Find all providers in zip 98146 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811155773 | Raghuram B Bhat | Psychiatry & Neurology | 417 Ne 2nd Ave Ste 205, Camas, WA 98607 | 2008-05-28 |
| 1487863999 | Phyllis Jo Henderson | Psychiatry & Neurology | 418 S 44th Ave, Yakima, WA 98908-3303 | 2007-05-21 |
| 1205956265 | Kevin Richard Wandler | Psychiatry & Neurology | 888 S Hillhurst Rd, Ridgefield, WA 98642-9063 | 2007-03-30 |
| 1457410961 | Frederick A Montgomery Md Inc Ps | Psychiatry & Neurology | 215 So 11th # D, Yakima, WA 98902 | 2006-12-08 |
| 1962575951 | Marc D Pellicciaro | Psychiatry & Neurology | 12729 Northup Way Ste 6, Bellevue, WA 98005-1935 | 2006-11-16 |
| 1821188764 | Steven M Juergens | Psychiatry & Neurology | 11201 Se 8th St Ste 105, Bellevue, WA 98004-6420 | 2006-10-13 |
| 1225666951 | Radiant Path Psychiatry Pllc | Psychiatry & Neurology | 330 King St Ste 5, Wenatchee, WA 98801-2857 | 2020-03-30 |
| 1184101073 | Luke Rosen, Do, Pllc | Psychiatry & Neurology | 2501 Ne 134th St Ste 203, Vancouver, WA 98686-3026 | 2018-07-24 |
| 1386883726 | Seema Basnett | Psychiatry & Neurology | 10001 17th Pl S, Lower Level, Seattle, WA 98168-1615 | 2009-02-09 |
| 1093921660 | Allison Evans Gullo | Psychiatry & Neurology | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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| 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.