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DR. MARY LYNN MORAN M.D.
NPI 1417034877
Otolaryngology - Facial Plastic Surgery in Woodside, CA

Active since November 01, 2006
2973 WOODSIDE RD, WOODSIDE, CA 94062(650) 851-0565(650) 851-0520 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 20, 2020 (2 updates tracked since 2020).

About Dr. Mary Lynn Moran M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY LYNN MORAN M.D. (NPI 1417034877) is an individual facial plastic surgery provider in Woodside, California, licensed in California (G-076828) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417034877
Entity TypeIndividualFemale
Primary Taxonomy207YS0123X
Provider Legal NameDR. MARY LYNN MORANCredential: M.D.
Location Address2973 WOODSIDE RDWoodside, CA 94062-2443
Mailing Address600a Frazier Dr Ste 120Franklin, TN 37067-4670 · (615) 224-8387
Phone(650) 851-0565
Fax(650) 851-0520
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1417034877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · G-076828
Definition
An otolaryngologist who specializes in facial plastic surgery.
2973 WOODSIDE RD, Woodside, CA 94062
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Other Identifiers 1

Medicaid00G768280CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lynn Moran's NPI number?

The NPI number for Mary Lynn Moran is 1417034877. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mary Lynn Moran located?

Mary Lynn Moran practices at 2973 Woodside Rd, Woodside, CA 94062. The listed phone number is (650) 851-0565.

What is Mary Lynn Moran's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Mary Lynn Moran was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.