ANTOINETTE MARIE MORAN (NPI# 1780618249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780618249 |
| Entity Type | Individual |
| Full Name | ANTOINETTE MARIE MORAN |
| Credential | M.D. |
| Practice Address |
420 Delaware St Se, Mmc 404 University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126266777 |
| Mailing Telephone | 6126266777 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 31322 | MN | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
31322 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARAZ/PPO | 24534 | 01 | |
| WI | 31504800 | 05 | |
| MT | 0051748 | 05 | |
| UCARE | 100925 | 01 | |
| MN | BCBS | 2T300MO | 01 |
| PREFERRED ONE | 1009249 | 01 | |
| MEDICA PRIMARY | 3374526 | 01 | |
| HEALTHPARTNERS | HP 21999 | 01 | |
| IA | 0963157 | 05 | |
| MEDICA CHOICE | 3324983 | 01 | |
| MN | 706594700 | 05 | |
| OH | OH MA | 0246157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921608 | Antoinette Moran | Physician Assistant | 3044 Route 50, Saratoga Springs, NY 12866-2906 | 2005-06-13 |
| Street Address |
420 DELAWARE ST SE, MMC 404 UNIVERSITY OF MINNESOTA PHYSICIANS |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380007 | Megan Marie Oberle | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2011-05-06 |
| 1316247323 | Melinda June Rogers Ross Pierce | Pediatrics | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2010-10-25 |
| 1578880746 | Eric Morris Bomberg | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454 | 2010-04-28 |
| 1295944932 | Matthew David Wise | Pediatrics | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2007-05-21 |
| 1679617930 | Lynda E Polgreen | Pediatrics | 516 Delaware St Se, Pwb 13-214, Mmc 8404, Minneapolis, MN 55455-0356 | 2007-02-19 |
| 1295819498 | Anna Petryk | Pediatrics | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
| 1053494542 | Kumud S Sane | Pediatrics | 516 Delaware St Se, Pwb 4th Floor, Room 4-100, Minneapolis, MN 55455-0356 | 2006-10-20 |
| 1407937766 | Angelica Badaru | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368247 | Martha L. Spencer | Pediatrics | 3800 Park Nicolett Blvd., Pediatric Endocrinology, St. Louis Park, MN 55416-2699 | 2005-12-27 |
| 1174515274 | Mary Jennifer Abuzzahab | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2005-08-16 |
| 1255323358 | Krishna M Saxena | Pediatrics | Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-16 |
| 1023540473 | Sarah Jackson | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-03 |
| 1831518828 | Luong Doan | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2014-04-07 |
| 1265788574 | Anoop Mohamed Iqbal | Pediatrics | 200 1st St Sw, 55905-, Rochester, MN 55905-0001 | 2012-07-24 |
| 1043574569 | Kannan Kasturi | Pediatrics | 400 E 3rd St, Duluth, MN 55805 | 2012-06-28 |
| 1124295761 | Zarlasht Amini | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-05-13 |
| 1457440380 | Christine L Ternand | Pediatrics | 347 Smith Ave N, Children's Hospitals and Clinics of Mn, Saint Paul, MN 55102-2387 | 2006-10-11 |
| 1215901699 | Aida N Lteif | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-14 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.