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).
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 |
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 |
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 |
Street Address |
520 ROSE LN |
City | WICKENBURG |
State | AZ |
Zip Code | 85390-1447 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 85390 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | WICKENBURG |
Zip Code | 85390 |
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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.