DR. KEVIN MICHAEL MORAN (NPI# 1619020906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619020906 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL MORAN |
| Credential | DPM |
| Practice Address |
3802 W Kalamazoo St Lansing MI 48917-3653 |
| Practice Telephone | 5174857300 |
| Mailing Telephone | 5174857300 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001163 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 4852310350 | 01 |
| MI | 1881660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565256 | Kevin Moran | Physical Therapist | 12702 Colima Rd, La Mirada, CA 90638-1921 | 2019-12-19 |
| 1073006821 | Kevin Charles Moran | Counselor | 91-1435 Wahane St, Kapolei, HI 96707-3119 | 2018-06-07 |
| 1346582418 | Kevin A Moran | Behavioral Analyst | 2740 Searles Ave, Las Vegas, NV 89101-1515 | 2013-03-26 |
| 1033190673 | Kevin J Moran | Podiatrist | 165 Mill St, Leominster, MA 01453-3242 | 2005-11-10 |
| 1376535922 | Kevin M Moran | Orthopaedic Surgery | 845 Fm 1960 Rd W, Suite 104, Houston, TX 77090-3942 | 2005-08-19 |
| 1215480959 | Kevin David Robert Moran | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-29 |
| 1386831691 | Kevin A. Moran | Hearing Instrument Specialist | 5110 Park Rd, Suite 1c, Charlotte, NC 28209-3699 | 2007-10-01 |
| Street Address |
3802 W KALAMAZOO ST |
| City | LANSING |
| State | MI |
| Zip Code | 48917-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679652283 | Brian Spencer Goosen | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2006-11-03 |
| 1568501062 | Delta Foot Care, P.C. | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881044048 | Sarah Hilton | Podiatrist | 912 Centennial Way Ste 380, Lansing, MI 48917-8246 | 2016-06-20 |
| 1558530055 | Armand R. Gasbarro, Dpm | Podiatrist | 3350 Ridge Rd, Lansing, IL 60438-3112 | 2008-02-28 |
| 1083801385 | 7stines Podiatry Center,pc | Podiatrist | 701 Snow Rd, Suite C, Lansing, MI 48917-4087 | 2007-10-01 |
| 1679652283 | Brian Spencer Goosen | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2006-11-03 |
| 1669575254 | Armand Ralph Gasbarro | Podiatrist | 3350 Ridge Road, Lansing, IL 60438 | 2006-09-07 |
| 1114983723 | John Kersey Throckmorton | Podiatrist | 3390 East Jolly Rd, Lansing, MI 48910 | 2006-04-22 |
| 1114300530 | Foremost Podiatry, P.C. | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2015-07-02 |
| 1427475607 | Jonathon M Rayman | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2014-03-25 |
| 1487893533 | Matthew Karl Wolfgang Thomson | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2009-02-12 |
| 1023282373 | Mid-michigan Podiatry, PC | Podiatrist | 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 | 2008-04-17 |
| Find all providers in LANSING | ||||
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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.