Mark E. Moran, PA-C
Physician Assistant · Boones Mill, VA
Practice location
22890 Virgil H Goode HwyBoones Mill, VA 24065
- Phone
- (540) 334-5511
NPI record
- NPI
- 1609821677
- Entity type
- Individual (Type 1)
- Enumeration date
- May 24, 2006
- Last updated
- July 13, 2026
- Certified
- December 8, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
0110001699 | VA |
| Medical Physician Assistant | 363AM0700X |
0110001699 | VA |
Mailing address
213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Other practice locations (1)
- 142 S Main St, Emergency Dept, Danville, VA 24541-2922 · (434) 799-2222
About Mark Moran
Mark E. Moran, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 22890 Virgil H Goode Hwy, Boones Mill, VA 24065. The NPI number 1609821677 was assigned on May 24, 2006 and the record was last updated on July 13, 2026.
Mark Moran lists 2 licenses in the registry: #0110001699 (VA) for Physician Assistant; #0110001699 (VA) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark E. Moran, PA-C?
The NPI number is 1609821677.
What is the phone number of Mark Moran?
The phone number listed for the practice location is (540) 334-5511.
Where is Mark Moran located?
22890 Virgil H Goode Hwy, Boones Mill, VA 24065.
What is the taxonomy code for Mark Moran?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Daniella Joanna Schneider373 Hidden Hill Ln