TANNER MILES MOORE


Address: 520 Rose Ln, Wickenburg, AZ 85390-1447
Phone: 7606134402

TANNER MILES MOORE (NPI# 1144673237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144673237
Entity Type Individual
Full Name TANNER MILES MOORE
Credential DPM
Practice Address 520 Rose Ln
Wickenburg
AZ 85390-1447
Mailing Address 523 Rose Ln
Wickenburg
AZ 85390-1448
Practice Telephone 7606134402
Mailing Telephone 7606134402
Enumeration Date 2016-07-13
Last Update Date 2020-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
POD-000936 AZ Podiatric Medicine & Surgery Service Providers

Other Providers TANNER MOORE

NPI Name Taxonomy Address Enumeration
1467972935 Tanner Mattson Moore Student in an Organized Health Care Education/Training Program 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 2017-06-26

Office Location

Street Address 520 ROSE LN
City WICKENBURG
State AZ
Zip Code 85390-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841282852 Community Hospital Association, Inc. General Acute Care Hospital 520 Rose Ln, Wickenburg, AZ 85390-1447 2005-08-16
1376150946 Community Hospital Association, Inc. Pharmacy 520 Rose Ln, Wickenburg, AZ 85390-1447 2020-09-28
1033772355 Mikaila Renae Caraveo Ruiz Physical Therapy Assistant 520 Rose Ln, Wickenburg, AZ 85390-1447 2019-04-22
1902302110 Audrey Jacobsen Physical Therapist 520 Rose Ln, Wickenburg, AZ 85390-1447 2018-04-05
1174026116 Anu Hospitalist Pllc Internal Medicine 520 Rose Ln, Wickenburg, AZ 85390-1447 2018-03-15
1871096099 H & H Hospitalist Pllc Internal Medicine 520 Rose Ln, Wickenburg, AZ 85390 2018-03-14
1093222754 Wendy Thomas Physical Therapist 520 Rose Ln, Wickenburg, AZ 85390-1447 2018-01-03
1851832885 Michael Bacon Physical Therapist 520 Rose Ln, Wickenburg, AZ 85390-1447 2017-03-09
1811435373 Mary Elizabeth Stoddard Nurse Practitioner 520 Rose Ln, Wickenburg, AZ 85390-1447 2017-02-05
1720438161 Vital Physicians Pllc Internal Medicine 520 Rose Ln, Wickenburg, AZ 85390-1447 2016-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215559471 Innovative Dermatology Alliance Az, PC Dermatology 390 Bralliar Rd, Wickenburg, AZ 85390 2020-05-11
1982040127 Lottis & Associates, P.C. Clinic/Center 55 E. Yavapai St, Wickenburg, AZ 85390 2013-05-15
1760760250 New Directions Integrative Wellness Center of Wickenburg, Arizona, Pll Clinic/Center 370 Palm Drive, Wickenburg, AZ 85390 2011-08-01
1326278953 Amy Elizabeth Wasserbauer Psychologist One E Apache St, Remuda Ranch Treatment Center, Wickenburg, AZ 85390 2009-07-16
1063653061 Wallace B Mendelson Psychiatry & Neurology 1 E. Apache St., Remuda Ranch, Wickenburg, AZ 85390 2009-03-20
1316195902 Nichole Elsner Counselor 920 S Vulture Mine Rd, Wickenburg, AZ 85390 2008-09-08
1992962310 Judy Rosittia Zobel Acupuncturist 519 Rose Lane, Wickenburg, AZ 85390 2008-05-22
1336361179 Eduardo Rodolfo Huergo Psychiatry & Neurology One East Apache Street, Wickenburg, AZ 85390 2007-05-02
1972625515 Kari Marie Froelicher Counselor 315 Apache Street, Wickenburg, AZ 85390 2007-04-04
1477689933 Wickenburg Unified School District #9 Local Education Agency (LEA) 920 S. Vulture Mine Road, Special Education Office, Wickenburg, AZ 85390 2007-02-26
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477152452 Arcadia Foot & Ankle PC Podiatrist 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 2020-10-21
1093314072 Arcadia Foot & Ankle PC Podiatrist 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 2020-10-21
1467072090 Foot & Ankle Specialists of Arizona Podiatrist 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 2020-04-23
1285254813 Foot & Ankle Specialists of Arizona Podiatrist 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 2020-04-23
1407418395 Jupiter Medical Services LLC Podiatrist 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 2019-07-01
1629535273 Saguaro Foot and Ankle Podiatrist 2128 E Maplewood St, Gilbert, AZ 85297-1140 2019-03-01
1609366533 Podiatric Physicians of Arizona, Inc. Podiatrist 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 2018-05-16
1750803748 Christopher Sullivan Podiatrist 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 2017-07-11
1285155127 Priyanka Begur Podiatrist 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 2017-06-30
1912439324 Bogdan Baragau Podiatrist 14418 W Meeker Blvd Ste 205, Sun City West, AZ 85375-5291 2017-04-03
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Competitor

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City WICKENBURG
Zip Code 85390

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Dataset Information

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.

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