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Active NPI 1447640842 Individual Practitioner Male Practitioner

Juan D Moreno , PA

Physician Assistant • Jbsa Randolph, TX

Professional Overview & Biography Verified Profile Summary

Juan Moreno, PA is a registered healthcare professional specializing in Physician Assistant in Jbsa Randolph, TX. Practice services are available at 221 3RD ST W BLDG 1040 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Telephone 2106526550
Fax 2102924130

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jbsa Randolph, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Jbsa Randolph, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2017021

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Zelwyn Figueroa Bravo , PA-C

Physician Assistant

NPI 1083473532

Physician Assistant (Certified)

Nicholas Bialobos

Physician Assistant

NPI 1366803835
Cindy Lauvetz , PA

Physician Assistant

NPI 1407313125

Physician Assistant

Caleb Farnell

Physician Assistant

NPI 1659149581

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 21, 2023

Registered at 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106526550)

📍
Updated Business Mailing Address August 21, 2023

Registered at 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106526550)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2023

Physician Assistant

📍
Updated Practice Location June 26, 2018

Registered at 15TH MEDICAL GROUP/FAMILY MEDICINE CLINIC, 750 SCOTT CIRCLE, JOINT BASE PEARL HBR HICKAM AFB, HI 968535399 (Tel: 8084486132)

📍
Updated Business Mailing Address June 26, 2018

Registered at 15TH MEDICAL GROUP/FAMILY MEDICINE CLINIC, 750 SCOTTCIRCLE,, JOINT BASE PEARL HBR HICKAM, HI 968535399 (Tel: 8084486132)

👤
Provider Name / Credentials Updated June 26, 2018

Recorded as JUAN MORENO, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Physician Assistant (License #PA2017021 in NM)

NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2015

Registered at 280 1ST ST, HOLLOMAN AFB, NM 883308273 (Tel: 5755727091)

📍
Updated Business Mailing Address January 23, 2015

Registered at 280 1ST ST, HOLLOMAN AFB, NM 883308273 (Tel: 5755727091)

👤
Provider Name / Credentials Updated January 23, 2015

Recorded as JUAN MORENO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447640842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2015
Last Update: August 21, 2023
Sole Proprietor: No

Mailing Address

221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Phone: 2106526550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.