SHANE MOORE DPM PC


Address: 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232
Phone: 6239740522

SHANE MOORE DPM PC (NPI# 1710470950) 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) 1710470950
Entity Type Organization
Organization Name SHANE MOORE DPM PC
Practice Address 13660 N 94th Dr Ste F1
Peoria
AZ 85381-4232
Practice Telephone 6239740522
Practice Fax Number 6239335787
Mailing Telephone 6239740522
Mailing Fax Number 6239335787
Enumeration Date 2018-06-12
Last Update Date 2018-06-12
Authorized Official Name DR. STEVEN SHANE MOORE (OWNER)
Authorized Official Telephone 4802419848
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
0802 AZ Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 13660 N 94TH DR STE F1
City PEORIA
State AZ
Zip Code 85381-4232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699065839 Keith Bangart Dpm PC Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2011-04-08
1710471529 Jeff Thomas Pllc Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-06-15
1699276881 Neo Matrix Anesthesia LLC Anesthesiology 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-02-23
1154822369 Regenerative Foot & Ankle LLC Clinic/Center 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-02-22
1306101571 Steven Shane Moore Podiatrist 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2012-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
Find all providers in zip 85381

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 city

NPI Name Taxonomy Address Enumeration
1407418395 Jupiter Medical Services LLC Podiatrist 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 2019-07-01
1548615875 Yehia Mohamed Elebrashi Podiatrist 10204 W Happy Valley Pkwy, Ste 160, Peoria, AZ 85383-2880 2016-04-23
1306118328 Jeff Thomas Podiatrist 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 2012-02-07
1750506846 Illinois Valley Podiatry Group PC Podiatrist 3322 W Willow Knolls, Peoria, IL 61614 2007-04-16
1679620876 Ernest A Nwani Podiatrist 409 N Western Ave, Peoria, IL 61606-1652 2007-01-03
1942270434 Donald Joe Sheller Podiatrist 3827 N Prospect Rd, Peoria, IL 61616-7767 2006-01-25
1114926748 Curtis L Ward Podiatrist 5017 N Glen Park Place Rd, Peoria, IL 61614-4677 2005-07-15
1831717891 Saturn Medical Specialists, LLC Podiatrist 13660 N 94th Drive, Ste D-1, Peoria, AZ 85381-8538 2020-07-07
1417574328 Ryan Bangart Dpm PC Podiatrist 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 2020-06-26
1538798004 Vitality Foot and Ankle Institute Pllc Podiatrist 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 2020-04-06
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 85381

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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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