MR. BRAD PRESTON MOORE (NPI# 1093057721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093057721 |
| Entity Type | Individual |
| Full Name | MR. BRAD PRESTON MOORE |
| Practice Address |
850 Republican St Bldg C-4. Box 358047. Graduate Medical Education Seattle WA 98109-4725 |
| Practice Telephone | 2065436806 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 11267606-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578094207 | Brad E. Moore | Registered Nurse | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2017-03-24 |
| 1043389810 | Brad B. Moore | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-11-07 |
| Street Address |
850 REPUBLICAN ST BLDG C-4. BOX 358047. GRADUATE MEDICAL EDUCATION |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790031573 | David Hagin | General Practice | 850 Republican St, Brotman 254, Seattle, WA 98109-4725 | 2012-07-30 |
| 1518464593 | Ramita D. Karra | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109 | 2018-04-06 |
| 1487151460 | Linda Liu | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2018-04-06 |
| 1427555416 | Arielle Kloss | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109 | 2018-04-06 |
| 1871099945 | Alysa Anne Poulin | Student in an Organized Health Care Education/Training Program | 850 Republican St, C-432, Seattle, WA 98109-4325 | 2018-04-05 |
| 1164957452 | Agnelio Silverio Cardentey II | Student in an Organized Health Care Education/Training Program | 850 Republican St, Box 358047, Seattle, WA 98109-4725 | 2017-04-25 |
| 1952835811 | Jake Hemingway | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2017-04-18 |
| 1457885972 | Kajal Mehta | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2017-04-12 |
| 1992238521 | Heather Michelle Barnett | Student in an Organized Health Care Education/Training Program | 850 Republican St, Box 358047, Seattle, WA 98109-4725 | 2017-04-10 |
| 1437504677 | Benjamin Hamilton | Emergency Medicine | 850 Republican St, Seattle, WA 98109-4725 | 2016-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778010 | Rhonwyn Suzanne Ernesto | Anesthesiology | 6321 Seaview Ave Nw Unit 19, Seattle, WA 98107-2671 | 2018-01-31 |
| 1821501966 | Pudkrong Kaewpichit | Anesthesiology | 325 9th Ave # 359724, Seattle, WA 98104-2420 | 2017-11-12 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| 1538546916 | Kimberly Ann Silka | Anesthesiology | 1595 Ne Pacific Street, Seattle, WA 98195-2033 | 2015-05-05 |
| 1326450776 | Sarah Brown | Anesthesiology | 4800 Sand Point Way Ne # 11.500, Seattle, WA 98105-3901 | 2014-05-20 |
| 1760892426 | Sarah Camellia Baldridge | Anesthesiology | Anesthesiology Residency, 1959 Ne Pacific Street, Box 356540, Seattle, WA 98195 | 2014-05-04 |
| 1699115725 | Bernice Ruth Hecker | Anesthesiology | 1127 Federal Ave E, Seattle, WA 98102-4314 | 2013-07-03 |
| 1194168583 | Erica Laine Holland | Anesthesiology | 4800 Sand Point Way Ne # 11500, Seattle, WA 98105-3901 | 2013-04-16 |
| 1710203203 | Matthew Wade Cotton | Anesthesiology | 941 N 78th St, Seattle, WA 98103-4709 | 2010-04-09 |
| 1467778993 | Ben Maniwatana | Anesthesiology | 1229 Madison St 1440, Seattle, WA 98104-3538 | 2010-04-08 |
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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.