| Dr Stephan G Moran, MD | |
|
201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 | |
| (256) 265-2895 | |
| (256) 265-9777 |
| Full Name | Dr Stephan G Moran |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Critical Care |
| Location | 201 Sivley Rd Sw, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417922683 | NPI | - | NPPES |
| 051520526 | Other | AL | BCBS |
| 4046898 | Medicaid | TN | |
| 009947965 | Medicaid | AL | |
| 4086146 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 00021195 (Alabama) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | 00021195 (Alabama) | Secondary |
| Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
| Entity Name | North Alabama Specialty Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942693973 PECOS PAC ID: 5698095222 Enrollment ID: O20160830002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephan G Moran, MD Po Box 2705, Huntsville, AL 35804-2705 Ph: (256) 265-4595 | Dr Stephan G Moran, MD 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 Ph: (256) 265-2895 |
Dr. Deepak Katyal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801 Phone: 256-265-2895 Fax: 256-265-9777 | |
Peter S Wilson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4704 Whitesburg Dr Sw Ste 200, Huntsville, AL 35802 Phone: 256-880-4510 Fax: 256-880-4512 | |
Dr. Mell Burress Welborn Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Sivley Rd Sw, Suite 530, Huntsville, AL 35801 Phone: 256-265-7480 Fax: 256-265-7481 | |
Dr. Sonya Walker, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 910 Adams St Se, Ste 220, Huntsville, AL 35801 Phone: 256-265-1800 Fax: 256-265-1801 | |
Dr. James Robert Lancaster, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 201 Sivley Rd Sw, Suite 320, Huntsville, AL 35801 Phone: 256-536-7840 Fax: 256-539-1062 | |
Andrew Harner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Whitesport Dr Sw, Huntsville, AL 35801 Phone: 770-355-0375 | |
Dr. Kevin Tyler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801 Phone: 256-265-5177 Fax: 256-265-9777 |