STACY LYNNE MORAN (NPI# 1295849859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295849859 |
| Entity Type | Individual |
| Full Name | STACY LYNNE MORAN |
| Credential | PA-C |
| Practice Address |
850 Hospital Rd Suite 2200 Indiana PA 15701-3662 |
| Practice Telephone | 7244640270 |
| Practice Fax Number | 7244640274 |
| Mailing Telephone | 7244640270 |
| Mailing Fax Number | 7244640274 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA051719 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE ID # | 172315Q8M | 01 |
| Street Address |
850 HOSPITAL RD SUITE 2200 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981337 | Farooq I Khan | Psychiatry & Neurology | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3662 | 2005-06-10 |
| 1689096091 | Antoinette Furman-steinbring | Nurse Practitioner | 850 Hospital Rd, Suite 1300, Indiana, PA 15701-3662 | 2014-01-21 |
| 1013350057 | Gary Ross Eggler | Dentist | 850 Hospital Rd, Suite 1100, Indiana, PA 15701-3662 | 2013-04-09 |
| 1427388859 | Derek R. Hatfield | Psychologist | 850 Hospital Rd, Suite 3000, Indiana, PA 15701-3662 | 2010-01-07 |
| 1295906154 | Neuropsychiatric Associates Inc., PC | Psychologist | 850 Hospital Rd, 2200 Medical Arts Building, Indiana, PA 15701-3662 | 2008-03-19 |
| 1144304031 | Shawna M. Marshall | Physician Assistant | 850 Hospital Rd, Suite 2300, Indiana, PA 15701-3662 | 2006-10-25 |
| 1750489845 | Sarah Nm Gatumu | Psychiatry & Neurology | 850 Hospital Rd, Suite 2200, Indiana, PA 14701 | 2006-09-20 |
| 1649387515 | Laurel Ent & Allergy PC | Otolaryngology | 850 Hospital Rd, Suite 2100, Indiana, PA 15701-3662 | 2006-08-24 |
| 1801804240 | Neuropsychiatric Associates Inc, PC | Psychologist | 850 Hospital Rd, Medical Arts Building, Suite 2200, Indiana, PA 15701-3662 | 2006-08-03 |
| 1013934058 | Gopala Amarnath Ramineni | Internal Medicine | 850 Hospital Rd, Suite 1300, Indiana, PA 15701-3662 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366095341 | Sydney Nicole Harteis | Physician Assistant | 120 Irmc Dr Ste 110, Indiana, PA 15701-3674 | 2019-07-19 |
| 1134688500 | Nicole Rae Phillips | Physician Assistant | 1265 Wayne Ave Ste 309, Indiana, PA 15701-3501 | 2019-03-15 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1386074375 | Laura E Russell | Physician Assistant | 15 S 8th St Ste 200, Indiana, PA 15701-2776 | 2013-11-12 |
| 1407480643 | Priya Chaddah | Physician Assistant | 870 Hospital Rd, Indiana, PA 15701-3628 | 2020-02-26 |
| 1811529217 | Julia Bosco | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-02-04 |
| 1467928820 | Julianne Diana Knezovich | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-23 |
| 1730662156 | Michael James Hegemann | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-09-11 |
| 1831682350 | Megan Shugarts | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2018-06-09 |
| 1285185827 | Emily Gabriel | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2016-10-19 |
| Find all providers in INDIANA | ||||
Please comment or provide details below to improve the information on STACY LYNNE 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.