JANESSA CYNTHIA LUCILLE MOORE


Address: 7962 Resurrection Dr, Anchorage, AK 99504-4729
Phone: 9072059435

JANESSA CYNTHIA LUCILLE MOORE (NPI# 1871142018) 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) 1871142018
Entity Type Individual
Full Name JANESSA CYNTHIA LUCILLE MOORE
Credential NCPT
Practice Address 7962 Resurrection Dr
Anchorage
AK 99504-4729
Practice Telephone 9072059435
Mailing Telephone 9072059435
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology 945987 AK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK NATION CENTER OF COMPETENCY 945987 01

Other Providers JANESSA MOORE

NPI Name Taxonomy Address Enumeration
1669784377 Janessa Moore Specialist/Technologist 949 S. Longmore, # 251, Mesa, AZ 85202 2010-07-10

Office Location

Street Address 7962 RESURRECTION DR
City ANCHORAGE
State AK
Zip Code 99504-4729

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Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538487905 Alaska Vein Care LLC Phlebology 3066 E. Meridian Park Loop, Wasilla, AK 99654 2010-05-11
1558703199 Vein Specialists of Alaska LLC Phlebology 3035 E Palmer Wasilla Hwy Ste 601, Wasilla, AK 99654-7279 2013-07-24
1073872669 Lynx Medical Services Organization Phlebology 3066 E Meridian Park Loop, Wasilla, AK 99654-7299 2012-05-16
1275792913 Marsha R Madriaga Phlebology 3449 E Rezanof Dr, Kodiak, AK 99615-6952 2008-06-06

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City ANCHORAGE
Zip Code 99504

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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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