Individual
THOMAS M MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
210 E GRAY ST, SUITE 1105, LOUISVILLE, KY 40202-3900
(502) 583-1609
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
33517
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000604406
ANTHEM - NNIKY
KY
01
—
000023035H
HUMANA - NNIKY
KY
01
—
00533112
MEDICARE - KY - NNIKY
KY
01
—
102716
SIHO - NNIKY
KY
05
—
200155550
—
IN
01
—
3694171000
PASSPORT ADVTG - NNIKY
KY
01
—
50022352
PASSPORT - NNIKY
KY
05
—
64353170
—
KY
01
—
7354921
CIGNA - NNIKY
KY
Enumeration date
08/24/2005
Last updated
07/13/2016
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