KEVIN J MORAN (NPI# 1033190673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033190673 |
| Entity Type | Individual |
| Full Name | KEVIN J MORAN |
| Credential | DPM |
| Practice Address |
165 Mill St Leominster MA 01453-3242 |
| Mailing Address |
630 Plantation St Worcester MA 01605 |
| Practice Telephone | 9784663206 |
| Practice Fax Number | 9784663241 |
| Mailing Telephone | 9784663206 |
| Mailing Fax Number | 9784663241 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1486 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7157347 | 01 | |
| HEALTHY START | 26816 | 01 | |
| BLUE CARE ELECT | Y70603 | 01 | |
| THREE RIVERS | 042472266 | 01 | |
| CMSP | 26816 | 01 | |
| HEALTHCARE VALUE MGMT | 042472266 | 01 | |
| CIGNA PAL ID | 8296705 | 01 | |
| FIRST HEALTH | 918064 | 01 | |
| MEDICARE B | Y70603 | 01 | |
| ONE HEALTH PLAN | 042472266 | 01 | |
| PRIVATE HEALTHCARE | 042472266 | 01 | |
| US HEALTHCARE | 7157347 | 01 | |
| FALLON COMMUNITY HEALTH | 9900803 | 01 | |
| BLUE SHIELD INDEMNITY | Y70603 | 01 | |
| RAILROAD MEDICARE | 480026225 | 01 | |
| BLUE SHIELD HMO BLUE | Y70603 | 01 | |
| MVP HEALTH CARE | 785962 | 01 | |
| HARVARD PILGRIM | AA2361 | 01 |
| 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 |
| 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 |
| 1619020906 | Kevin Michael Moran | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2007-01-19 |
| Street Address |
165 MILL ST |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628753 | Mary Poulias Mitchell | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2016-09-30 |
| 1265803373 | Elizabeth M. Glavin | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2015-10-15 |
| 1265818413 | Jordan E Siegmann | Physical Therapist | 165 Mill St, Leominster, MA 01453-3289 | 2015-08-10 |
| 1255680617 | James A. Sorensen | Physical Therapist | 165 Mill St, Leominster, MA 01453-3289 | 2012-08-31 |
| 1619247855 | Lauren O. Katz | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2012-01-05 |
| 1952413494 | Centmass Imaging, Inc. | Radiology | 165 Mill St, Leominster, MA 01453-3289 | 2006-08-31 |
| 1528076445 | Martha J Robillard | Occupational Therapist | 165 Mill St, Leominster, MA 01453 | 2006-08-04 |
| 1780613935 | Jeffrey S Gorodetsky | Legal Medicine | 165 Mill St, Leominster, MA 01453-3289 | 2006-07-01 |
| 1932137692 | Janice L Kennedy | Pediatrics | 165 Mill St, Leominster, MA 01453-3242 | 2006-06-29 |
| 1821038738 | Daniel A Veno | Family Medicine | 165 Mill St, Leominster, MA 01453-3289 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on KEVIN J MORAN.
| 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.