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ANTOINETTE MARIE MORAN M.D. NPI 1780618249


NPI Information

NPI: 1780618249
Provider Name: ANTOINETTE MARIE MORAN, M.D.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

PECOS Registration: Yes

Address:
420 DELAWARE ST SE, MMC 404
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777
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Antoinette Marie Moran, M.D. is a pediatric endocrinology pediatrics in Minneapolis, MN. The provider is 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. Antoinette Marie Moran, M.D. NPI is 1780618249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

420 DELAWARE ST SE, MMC 404
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777

The NPI 1780618249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics31322MINNESOTANo
22080P0205XPediatricsPediatric Endocrinology31322MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10246157OTHEROHIOOH MA
20051748MEDICAIDMONTANA
3HP 21999OTHERHEALTHPARTNERS
40963157MEDICAIDIOWA
5706594700MEDICAIDMINNESOTA
63374526OTHERMEDICA PRIMARY
7E39688MEDICARE UPIN
83324983OTHERMEDICA CHOICE
924534OTHERARAZ/PPO
101009249OTHERPREFERRED ONE
11100925OTHERUCARE
1231504800MEDICAIDWISCONSIN
132T300MOOTHERMINNESOTABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.