DR. KEVIN PATRICK MORIARTY


Address: 100 Wason Ave, Ste 220, Springfield, MA 01107-1381
Phone: 4137942442

DR. KEVIN PATRICK MORIARTY (NPI# 1598774630) 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) 1598774630
Entity Type Individual
Full Name DR. KEVIN PATRICK MORIARTY
Credential MD
Practice Address 100 Wason Ave
Ste 220
Springfield
MA 01107-1381
Mailing Address 280 Chestnut St
2nd Floor
Springfield
MA 01199-1001
Practice Telephone 4137942442
Practice Fax Number 4137942910
Mailing Telephone 4137945700
Enumeration Date 2006-08-07
Last Update Date 2019-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
78726 MA Allopathic & Osteopathic Physicians

Other Providers KEVIN MORIARTY

NPI Name Taxonomy Address Enumeration
1588719496 Kevin Sean Moriarty Chiropractor 505 W Hollis St, Suite 205, Nashua, NH 03062-1358 2007-01-24

Office Location

Street Address 100 WASON AVE
STE 220
City SPRINGFIELD
State MA
Zip Code 01107-1381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801893359 Amado Ramos Munson Physician Assistant 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 2005-06-30
1972089597 Roksolana V Voshchilo Audiologist 100 Wason Ave, Springfield, MA 01107-1381 2018-07-17
1184179517 Renal and Transplant Associates of New England, PC Transplant Surgery 100 Wason Ave, Ste 200, Springfield, MA 01107-1381 2016-08-15
1235535204 Renal and Transplant Associates of New England PC Transplant Surgery 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 2014-11-18
1063823193 Hendy Bulter Jean Internal Medicine 100 Wason Ave, Springfield, MA 01107-1381 2014-05-12
1033546643 Lisa Ann Salisbury Physician Assistant 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 2013-09-27
1548576135 Laurette Lynn Patten Nurse Practitioner 100 Wason Ave, 230, Springfield, MA 01107-1179 2010-08-20
1366762932 Pioneer Valley Plastic Surgery LLC Surgery 100 Wason Ave, Suite 360, Springfield, MA 01107-1119 2010-06-07
1316265622 Lauren Busekroos Otolaryngology 100 Wason Ave, Suite 100, Springfield, MA 01107-1381 2010-05-11
1275865131 Hemant Magoo Internal Medicine 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 2010-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
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Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871766493 Troy L. Spilde Surgery 400 N 9th St, Springfield, IL 62702-5310 2008-04-03
1194868653 Richard A Courtney Surgery 125 Liberty St, Springfield, MA 01103-1114 2007-02-15
1558404012 Stanley H Konefal Surgery 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 2007-02-15
1306992987 Gregory T Banever Surgery 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 2007-01-26
1841395225 David B Tashjian Surgery 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 2006-09-13
1114034352 Ahmed G. Mami Surgery 400 N 9th St, Springfield, IL 62702-5310 2006-08-24
1518972025 Garret Seth Zallen Surgery 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477-8803 2006-07-31
1194752337 Michael V Tirabassi Surgery 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 2006-06-26
1184610255 Ruth D Mayforth Surgery 301 N 8th St, Pav4a, Springfield, IL 62701-1041 2005-09-23
1164422622 Kimberly Anne Molik Surgery 800 E Carpenter St, Springfield, IL 62702-5324 2005-07-27
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Competitor

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City SPRINGFIELD
Zip Code 01107

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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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