{"npi":"1992910830","type":"NPI-1","status":"active","name":{"display":"Edward Moran M.D.","other":[],"first":"EDWARD","last":"MORAN","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"WV","license":"22569"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"WV","license":"22569"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"WV","license":"22569"}]},"addresses":[{"purpose":"LOCATION","street_1":"71 WAYNE ST","city":"FORT GAY","state":"WV","postal_code":"255148518","country_code":"US","phone":"3046485544"},{"purpose":"MAILING","street_1":"P.O. BOX 1680","city":"HUNTINGTON","state":"WV","postal_code":"257171680","country_code":"US","phone":"3046971396","fax":"3046972086"}],"license":{"state":"WV","number":"22569"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3810012069","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"001709560","state":"WV","issuer":"MT. STATE BC/BS"},{"type_code":"05","label":"Medicaid","value":"7100061120","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"3002119","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"00767779","state":"WV","issuer":"RR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091015000463","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"WV","pac_id":"2163568536"}]},"enumeration_date":"2007-05-14","last_updated":"2024-05-28","_meta":{"source":"NPPES","snapshot_date":"2024-05-28","doc_url":"https://findmynpi.com/api"}}