| Jonathan R Moran, DO | |
|
23500 Us Highway 160, Walsenburg, CO 81089-9524 | |
| (719) 735-5100 | |
| Not Available |
| Full Name | Jonathan R Moran |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 23500 Us Highway 160, Walsenburg, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902244734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | DR.0058359 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | DR.0058359 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Taos Health Systems Inc Holy Cross Hospital | 8224937412 | 29 |
| Entity Name | Taos Health Systems Inc Holy Cross Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Moran, DO 23500 Us Highway 160, Walsenburg, CO 81089-9524 Ph: (719) 738-5100 | Jonathan R Moran, DO 23500 Us Highway 160, Walsenburg, CO 81089-9524 Ph: (719) 735-5100 |
Dr. Fred O. Williams, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5100 | |
Dr. Jonathan Dobin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5100 Fax: 719-738-5138 | |
Dr. Michael N Mills, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5144 Fax: 719-738-5138 | |
Dr. Ginger E. Dunnam-smith, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5100 Fax: 719-738-5138 | |
Dr. Thomas Faulhaber, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5144 Fax: 719-738-5138 | |
Chad A. Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 23500 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-5100 Fax: 719-738-5138 |