PATRICK DANIEL MOORE (NPI# 1558321505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558321505 |
| Entity Type | Individual |
| Full Name | PATRICK DANIEL MOORE |
| Credential | DPM |
| Practice Address |
3811 29th Ave Ste3 Kearney NE 68845-1280 |
| Mailing Address |
3811 29th Ave Ste 3 Kearney NE 68845-1280 |
| Practice Telephone | 3082372621 |
| Practice Fax Number | 3082372023 |
| Mailing Telephone | 3082372621 |
| Mailing Fax Number | 3082372023 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 265 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47082440100 | 05 | |
| PALMETTO GBA-RRMC | 480028579 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740617968 | Patrick Joseph Moore | Anesthesiology | 5500 State Road 111, New Albany, IN 47150-9009 | 2013-10-02 |
| 1720338890 | Patrick James Moore | Massage Therapist | 109 S Summit Ave, Bremerton, WA 98312-4119 | 2012-09-14 |
| 1598068595 | Patrick W Moore | Counselor | 5150 Penn Avenue, Pittsburgh, PA 15224-1626 | 2010-12-13 |
| 1811168610 | Patrick Seth Moore | Pharmacist | 220 E Crestwood Ct, Gallup, NM 87301-7120 | 2008-03-19 |
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| 1487725487 | Patrick Dale Moore | Chiropractor | 8258 Rockville Road, Indianapolis, IN 46214-0000 | 2006-11-13 |
| 1811066046 | Patrick Michael Moore | Dentist | 2232 St Clair Ave, East Liverpool, OH 43920-1437 | 2006-11-06 |
| 1497789036 | Patrick Brett Moore | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2006-07-10 |
| 1982604419 | Patrick Devincent Moore | Family Medicine | 3414 Moss St, Suite F&g, Lafayette, LA 70507-6107 | 2005-07-27 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| Street Address |
3811 29TH AVE STE3 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396998134 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste 3, Kearney, NE 68845-1280 | 2008-10-24 |
| 1316101546 | Judith A Harms | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
| 1326202557 | James R Sedlak | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
| 1164686390 | Mandi J Sedlak | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
| 1194827394 | Whitney Schneider | Speech-Language Pathologist | 3811 29th Ave, Suite 2, Kearney, NE 68845-1280 | 2006-09-01 |
| 1740245869 | Women's Orthotics & Prosthestics Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 3811 29th Ave, Suite 4, Kearney, NE 68845-1280 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476733 | Gregory Allen Burns | Podiatrist | 215 W 29th St, Ste B, Kearney, NE 68845-3430 | 2005-09-07 |
| 1255661633 | Kearney Foot Clinic PC | Podiatrist | 215 W 29th St, Suite B, Kearney, NE 68845-3473 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607298 | Advanced Foot & Ankle LLC | Podiatrist | 3213 South 24th Street, Suite 101b, Omaha, NE 68108-1832 | 2016-09-21 |
| 1467830083 | Ryan Supon | Podiatrist | 2824 North 6th Ave, Omaha, NE 68104-3928 | 2015-05-14 |
| 1164619409 | Katherine J. Berger, D.p.m. | Podiatrist | 747 N Burlington Ave Ste 308, Hastings, NE 68901-4478 | 2007-10-01 |
| 1023203874 | Richard M. Evans, D.p.m., P.C. | Podiatrist | 3401 O St, Lincoln, NE 68510-1541 | 2007-09-13 |
| 1982826111 | Ankle & Foot Clinic PC | Podiatrist | 8625 Q St, Omaha, NE 68127-3673 | 2007-05-03 |
| 1467532986 | Steven Dale Meinhold | Podiatrist | 11334 Elm St, Omaha, NE 68144-4733 | 2006-10-17 |
| 1043390578 | Elizabeth Marie Klawitter | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2006-10-17 |
| 1710076906 | Torrey Brett Rassfeld | Podiatrist | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2006-10-12 |
| 1487749230 | Omaha Foot Care Center Inc | Podiatrist | 6659 Sorensen Parkway, Omaha, NE 68152-2139 | 2006-10-04 |
| 1508978693 | Brock Randall Angelos | Podiatrist | 4213 O St, Lincoln, NE 68510-1751 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.