| Mark Moran, CRNA | |
|
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
| (314) 989-3000 | |
| Not Available |
| Full Name | Mark Moran |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 1st Capitol Dr, Saint Charles, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194707851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 077283 (Missouri) | Primary |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Moran, CRNA 13523 Barrett Parkway Dr, Suite 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Mark Moran, CRNA 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (314) 989-3000 |
Julie L Roach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Kathleen H Kidd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Courtney Henderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-775-2816 | |
Robert D Kinder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Melissa Lashley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 74 Catawba Ct, Saint Charles, MO 63304 Phone: 636-699-9127 | |
Jay L Poole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Mrs. Abby Elizabeth Kubesh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1214 Lake Ct, Saint Charles, MO 63303 Phone: 314-952-8027 |