MR. JEFFERY W MOORE (NPI# 1801870480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801870480 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY W MOORE |
| Credential | CRNA |
| Practice Address |
1000 S Main St Tipton IN 46072-9753 |
| Practice Telephone | 7656758521 |
| Practice Fax Number | 7656758520 |
| Mailing Telephone | 7656758521 |
| Mailing Fax Number | 7656758520 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28087122A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 28087122 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200345230 | 05 | |
| IN | 200345230A | 05 | |
| IN | ANTHEM - TIPTON HOSPITAL | 000000603596 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528337243 | Jeffery Kyle Moore | Counselor | 1750 Kalakaua Ave, Suite 1203, Honolulu, HI 96826-3766 | 2011-12-26 |
| 1770759557 | Jeffery Moore | Naturopath | 720 N 30th St, Billings, MT 59101-0901 | 2008-05-01 |
| Street Address |
1000 S MAIN ST |
| City | TIPTON |
| State | IN |
| Zip Code | 46072-9753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588092498 | Addie Rayl | Physical Therapist | 1000 S Main St, Tipton, IN 46072-9753 | 2013-10-31 |
| 1740527266 | Diabetes and Endocrinology Associates LLC | Internal Medicine | 1000 S Main St, Tipton, IN 46072-9753 | 2013-01-04 |
| 1114105517 | Central Indiana Physician Alliance, LLC | Obstetrics & Gynecology | 1000 S Main St, Tipton, IN 46072-9753 | 2008-02-07 |
| 1013130764 | Indiana University Health Tipton Hospital Inc | Family Medicine | 1000 S Main St, Tipton, IN 46072-9753 | 2007-04-11 |
| 1417085770 | Indiana University Health Tipton Hospital Inc | General Acute Care Hospital | 1000 S Main St, Tipton, IN 46072-9753 | 2007-03-01 |
| 1861539975 | Miller's Health Systems, Inc. | Skilled Nursing Facility | 1000 S Main St, Tipton, IN 46072-9753 | 2007-01-30 |
| 1699876094 | Indiana University Health Tipton Hospital Inc | Clinical Medical Laboratory | 1000 S Main St, Tipton, IN 46072-9753 | 2006-09-26 |
| 1578594933 | William L Wixom | Emergency Medicine | 1000 S Main St, Tipton, IN 46072-9753 | 2006-07-05 |
| 1669419693 | James Riley Davidson | Emergency Medicine | 1000 S Main St, Tipton, IN 46072-9753 | 2006-05-31 |
| 1710969035 | Patricia Nordstrom Spalding | Audiologist | 1000 S Main St, Tipton Hospital, Suite C, Tipton, IN 46072-9753 | 2005-11-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522863 | Christopher Anderson | Specialist/Technologist | 5580 St Rd 28, Tipton, IN 46072 | 2015-03-06 |
| 1205189347 | Christopher Tyler Smith | Physical Therapist | 1010 S Main St Ste 100, Tipton, IN 46072 | 2012-10-25 |
| 1750595765 | Indiana Health Centers, Inc. | Public Health or Welfare | Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 | 2007-05-09 |
| 1700943156 | Michael E Harper Md PC | Family Medicine | 410 Fairgrounds Rd, Tipton, IN 46072 | 2007-01-03 |
| 1831158252 | Kevin R Worth | Optometrist | 214 E Jefferson St, Tipton, IN 46072 | 2006-03-23 |
| 1619137239 | Adam T Garner | Optometrist | 215 E Jefferson St, Tipton, IN 46072 | 2008-06-17 |
| 1831217918 | Tracey Powell | Chiropractor | 932 N Main St, Tipton, IN 46072-1047 | 2007-03-27 |
| 1538170840 | Cicero Township Volunteer Fire Department | Ambulance | 750 Development Dr, Tipton, IN 46072-1072 | 2006-08-11 |
| 1720243330 | Mary Delph | Physical Therapy Assistant | 433 Maple St, Tipton, IN 46072-1518 | 2008-07-23 |
| 1992702971 | Jeffrey L Tweedy | Optometrist | 132 N Main St, Tipton, IN 46072-1603 | 2005-07-05 |
| Find all providers in zip 46072 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| 1053938324 | Sara Rosemarie Saylor | Nurse Anesthetist, Certified Registered | 4455 Edison Lakes Pkwy # 100, Mishawaka, IN 46545-1414 | 2020-07-02 |
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1912540931 | Evin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1101 Professional Blvd Ste 104, Evansville, IN 47714-8018 | 2019-10-22 |
| 1427619840 | Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | 3212 Hickory Rd Ste A, Mishawaka, IN 46545-8863 | 2019-06-26 |
| 1013475375 | Vigilance Anesthesiologists & Pain Specialists PC | Nurse Anesthetist, Certified Registered | 5363 Commerce Blvd, Crown Point, IN 46307-5325 | 2019-03-06 |
| 1023572781 | Allied Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 53990 Carmichael Dr Ste 100, South Bend, IN 46635-1585 | 2019-01-28 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1275018236 | Indiana Ams LLC | Nurse Anesthetist, Certified Registered | 9200 Calumet Ave Ste 200, Munster, IN 46321-2885 | 2018-09-26 |
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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.