CHRISTOPHER AL MORENO


Address: 307 St. Johns Way, Suite 11, Lewiston, ID 83501
Phone: 2087437612

CHRISTOPHER AL MORENO (NPI# 1275589905) 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) 1275589905
Entity Type Individual
Full Name CHRISTOPHER AL MORENO
Credential M.D.
Practice Address 307 St. Johns Way
Suite 11
Lewiston
ID 83501
Practice Telephone 2087437612
Practice Fax Number 2087464802
Mailing Telephone 2087437612
Mailing Fax Number 2087464802
Enumeration Date 2006-05-25
Last Update Date 2007-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery MD00024021 WA Allopathic & Osteopathic Physicians
Y 208600000X Surgery M5071 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 020006062 01
ID REGENCE BLUE SHIELD OF ID 000010002753 01
ID 002599100 05
WA WA CRIME VICTIMS PROGRAM 8909565 01
WA WA LABOR & INDUSTRY 0096144 01
ID TRICARE/TRI WEST 82040040083501A003 01
WA 1021856 05
ID BLUE CROSS OF IDAHO D0782 01

Other Providers CHRISTOPHER MORENO

NPI Name Taxonomy Address Enumeration
1275196784 Christopher Martin Moreno Dermatology 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 2019-04-19
1770778458 Christopher F Moreno Licensed Psychiatric Technician 516 N Kaweah Ave, Exeter, CA 93221-1200 2007-09-06

Office Location

Street Address 307 ST. JOHNS WAY
SUITE 11
City LEWISTON
State ID
Zip Code 83501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932282431 Joyce A Majure Surgery 307 St. Johns Way, Suite 11, Lewiston, ID 83501 2006-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
Find all providers in zip 83501

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083731103 Barry A. Smith Surgery 307 Saint Johns Way Ste 4, Lewiston, ID 83501-2435 2007-03-23
1922184613 Maria G Ikossi Surgery 99 Campus Ave Ste 401, Lewiston, ME 04240 2006-10-27
1841245354 Joyce Arlene Majure Surgery 307 St. Johns Way Suite 11, Lewiston, ID 83501 2006-05-23
1134189434 Catherine E Oconnor Surgery 99 Campus Ave., Suite 401, St Mary's Surgical Associates, Lewiston, ME 04240-6045 2006-03-23
1124097415 Thomas L Moore Surgery 106 Campus Ave, Lewiston, ME 04240 2006-03-17
1326010695 Michael Anthony Ricci Surgery Central Maine Cardiovascular Surgery, 60 High Street, Lewiston, ME 04240 2006-02-02
1497731269 Lisa A Rutstein Surgery 12 High St Ste 205, Lewiston, ME 04240-7689 2005-12-22
1164405270 Mark L Shapiro Surgery 93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 2005-11-22
1467800227 Niagara Medicine, PC Surgery 5300 Military Rd, Lewiston, NY 14092-1903 2016-06-01
1497042998 Roberto Javier Vidri Alonso-rochi Surgery 99 Campus Ave Ste 401, St. Mary's Surgical Associates, Lewiston, ME 04240-6045 2011-07-05
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 83501

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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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