MARTIN J. MORAN SR. D.O. P.C. NPI 1992991764

NPI Information

  • NPI: 1992991764
  • Provider Name: MARTIN J. MORAN SR., D.O., P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D0192830
  • Address: 824 MCALPINE ST
    AVOCA, PA
    ZIP 18641
  • Phone: (570) 457-7493

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NPI Details

MARTIN J. MORAN SR., D.O., P.C. is a family medicine in Avoca, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARTIN J. MORAN SR., D.O., P.C. NPI is 1992991764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

824 MCALPINE ST
AVOCA, PA
ZIP 18641-140
Phone: (570) 457-7493
Fax: (570) 457-6710

The provider's authorized official is Rosemary Gnall .
The authorized official title is Office Manager and has the following contact phone number (570) 457-7493.

The CLIA number assigned to this NPI record is 39D0192830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 3/5/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS-009468-LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G90220MEDICARE UPINPENNSYLVANIA
2001750669001MEDICAIDPENNSYLVANIA
3026130OTHERPENNSYLVANIAMEDICARE

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: 3/30/2025

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