MR. BRIAN LEE MOORE (NPI# 1013961804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013961804 |
| Entity Type | Individual |
| Full Name | MR. BRIAN LEE MOORE |
| Credential | CRNA |
| Practice Address |
6615 Briarwood Cir Wichita KS 67212-2986 |
| Practice Telephone | 3167294474 |
| Practice Fax Number | 3167294474 |
| Mailing Telephone | 3167294474 |
| Mailing Fax Number | 3167294474 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 54974 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE SHIELD | 144874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160810 | Brian Chadwick Moore | Technician | 1227 Blue Slide Rd, Thompson Falls, MT 59873-9470 | 2020-09-29 |
| 1790102226 | Brian Archie Moore | Physical Therapist | 4413 61st St, Lubbock, TX 79414-4520 | 2014-03-21 |
| 1225336316 | Brian Thomas Moore | Pharmacist | 602 Bacons Bridge Rd, Summerville, SC 29485-4102 | 2011-03-14 |
| 1033236591 | Brian Alan Moore | Social Worker | 1001 W 10th St # Bu1, Midtown Cmhc, Indianapolis, IN 46202-2859 | 2007-03-22 |
| 1952480063 | Brian Joseph Moore | Internal Medicine | 1201 Mount Kemble Ave, Morristown, NJ 07960-6628 | 2006-11-02 |
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1144237108 | Brian Moore | Anesthesiology | 8504 Osuna Rd Ne, Albuquerque, NM 87111-2148 | 2006-08-02 |
| 1790749539 | Brian Keith Moore | Specialist/Technologist | 4653 Clairton Blvd, Pittsburgh, PA 15236-2149 | 2006-04-17 |
| 1871554527 | Brian Harold Moore | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
| 1942709613 | Brian Joseph Moore | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2018-02-07 |
| Street Address |
6615 BRIARWOOD CIR |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1467755413 | Tamara Lynette Rothenberger | Nurse Anesthetist, Certified Registered | 1515 S Clifton Ave Ste 200, Wichita, KS 67218-2958 | 2010-12-14 |
| 1285966689 | Ryan Vincent Berland | Nurse Anesthetist, Certified Registered | 11628 W Nantucket St, Wichita, KS 67212-6938 | 2010-02-10 |
| 1528226206 | Amy Michelle King | Nurse Anesthetist, Certified Registered | 556 N Oakwood Dr, Wichita, KS 67208-4227 | 2008-05-29 |
| 1013100221 | Janet L Miller | Nurse Anesthetist, Certified Registered | 3450 N Rock Rd Ste 208, Wichita, KS 67226-1352 | 2007-08-21 |
| 1538239850 | Andrea Marie Jack | Nurse Anesthetist, Certified Registered | 224 E Douglas Ave, Suite 400, Wichita, KS 67202-3423 | 2006-11-08 |
| 1316957780 | Mary Leahy | Nurse Anesthetist, Certified Registered | 731 N Mclean Blvd, Wichita, KS 67203-4986 | 2006-08-09 |
| 1013952126 | Ophthalmic Anesthesia Team Pa | Nurse Anesthetist, Certified Registered | 6100 East Central, Ste 5, Wichita, KS 67212 | 2006-06-20 |
| 1699719393 | David Milton Adamson | Nurse Anesthetist, Certified Registered | 5800 East Kellogg Ave, Bob Dole Va Hospital, Wichita, KS 67218 | 2006-06-15 |
| 1003853300 | Jill C Gallagher | Nurse Anesthetist, Certified Registered | 8330 E Overbrook St, Wichita, KS 67206-2326 | 2006-06-02 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.