DR. JOHN A MORAN


Address: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744
Phone: 2183263433

DR. JOHN A MORAN (NPI# 1700879756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700879756
Entity Type Individual
Full Name DR. JOHN A MORAN
Credential M.D.
Practice Address 1542 Golf Course Rd
Suite 201
Grand Rapids
MN 55744
Practice Telephone 2183263433
Practice Fax Number 2183263435
Mailing Telephone 2183263433
Mailing Fax Number 2183263435
Enumeration Date 2005-08-24
Last Update Date 2010-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 20816 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN INDIVIDUAL MEDICARE NUMBER GRAND RAPIDS 180001387 01
MN MEDICARE PROVIDER NUMBER HIBBING C02738 01
MN MEDICARE GRAND RAPIDS PROVIDER NUMBER C08247 01
MN INDIVIDUAL MEDICARE NUMBER HIBBING 180001388 01

Other Providers JOHN MORAN

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
1225036056 John P Moran Internal Medicine 1845 W Army Trail Rd, Addison, IL 60101-1901 2005-07-14

Office Location

Street Address 1542 GOLF COURSE RD
SUITE 201
City GRAND RAPIDS
State MN
Zip Code 55744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326683988 Matthew Davis Borowski Specialist/Technologist 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2019-11-07
1538672548 Kjerstin G Durie Physician Assistant 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2017-11-13
1104217785 Sarah Jean Levar Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2015-02-18
1871926691 Andrew Michael Mccann Physical Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2013-08-15
1093152423 Deer River Healthcare Center, Inc. Clinic/Center 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2013-05-24
1245538750 Anne Marie Grozdanich Nurse Practitioner 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555 2011-03-08
1174854350 Radtke Physical Therapy Limited Partnership Durable Medical Equipment & Medical Supplies 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2010-01-27
1659509362 Lanea D Johnson Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2009-07-01
1376734418 Susan L Anderson Registered Nurse 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 2007-08-05
1659578417 Barry J Pederson Physical Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2007-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710587696 Friesen & Friesen, Inc Assisted Living Facility 1971 Ne 1st Avenue, Grand Rapids, MN 55744 2020-10-29
1699392555 Duane Stanley Helmer Counselor First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 2020-06-26
1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548756141 Marko Habekovic Md, Pllc Ophthalmology 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 2018-07-06
1609212208 Mary Jia Ling Lim Ophthalmology 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 2013-05-22
1215143797 Kathleen Urban Dehorn Ophthalmology 2505 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-6100 2007-05-14
1194894055 Michael Debre' Harrison Ophthalmology 435 Cherry St Se, Grand Rapids, MI 49503-4672 2006-11-07
1194753186 Thomas Marshall Aaberg Jr. Ophthalmology 5030 Cascade Rd Se, Grand Rapids, MI 49546-3725 2006-06-29
1699703470 Danny D Wang Ophthalmology 2727 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-9611 2006-06-29
1710913926 Vitreo-retinal Associates P.C. Ophthalmology 2505 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 2006-06-23
1255371647 Jeffrey Daniel Zheutlin Ophthalmology 2505 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 2006-06-07
1972552628 Patrick Joseph Droste Ophthalmology 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 2006-05-09
1598727935 Elizabeth H Henry Ophthalmology 791 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8625 2006-04-03
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 55744

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Dataset Information

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.

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