Nathan L Moore
BOURBON PHYSICIAN PRACTICE LLC


Address: 18 Clinic Dr, Paris, KY 40361-2161
Phone: 8599875013

Nathan L Moore (NPI# 1093829822, PAC ID# 0749381275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1093829822
PAC ID by PECOS 0749381275
Professional Enrollment ID I20070727000043
Full Name Nathan L Moore
Organization Legal Name BOURBON PHYSICIAN PRACTICE LLC
Address 18 Clinic Dr
Paris
KY 40361-2161
Phone Number 8599875013
Gender M
Medical School UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 8729226097
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180046 BOURBON COMMUNITY HOSPITAL
180103 BAPTIST HEALTH LEXINGTON

Other Locations

Address Phone Organization
1210 Ky Hwy 36 E, Cynthiana, KY 41031-7490 8593401377 BOURBON PHYSICIAN PRACTICE LLC
18 Clinic Dr, Paris, KY 40361-2161 8599875013 BOURBON PHYSICIAN PRACTICE LLC
22 Clinic Dr, Paris, KY 40361-2161 8599870074 BOURBON PHYSICIAN PRACTICE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_204_overall Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 95%

Organization Information

Organization Legal Name BOURBON PHYSICIAN PRACTICE LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Christina Maria Chaney Clinical Social Worker Bourbon Physician Practice LLC 22 Clinic Dr, Paris, KY 40361-2161
Dawne M Hamilton Nurse Practitioner Bourbon Physician Practice LLC 107 S Broadway St, Carlisle, KY 40311-1150
Kristie Wheeler Physician Assistant Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Taffany Norton Amburgey Nurse Practitioner Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Ann Louise Rosenberg-sattich Clinical Social Worker Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Ashley E Johnson Nurse Practitioner Bourbon Physician Practice LLC 22 Clinic Dr, Paris, KY 40361-2161
Joseph G Fine General Surgery Bourbon Physician Practice LLC 8 Linville Dr, B, Paris, KY 40361-2128
Chester R Young Jr. Family Practice Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Geoffrey J Cooper Family Practice Bourbon Physician Practice LLC 22 Clinic Dr, Paris, KY 40361-2161
Joelle Marie Hall Clinical Social Worker Bourbon Physician Practice LLC 22 Clinic Dr, Paris, KY 40361-2161

Office Location

Street Address 18 CLINIC DR
City PARIS
State KY
Zip 40361-2161

Physicians in the same location

Name Specialty Organization Address
Kristie Wheeler Physician Assistant Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Taffany Norton Amburgey Nurse Practitioner Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Ann Louise Rosenberg-sattich Clinical Social Worker Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161
Chester R Young Jr. Family Practice Bourbon Physician Practice LLC 18 Clinic Dr, Paris, KY 40361-2161

Physicians in the same zip code

Name Specialty Organization Address
Roberta Lynn Allison General Practice 2017 S Main St, Suite 7, Paris, KY 40361-1167
John D Conklin Ophthalmology Kentucky Medical Services Foundation, Inc 2017 S Main St, Suite 6, Paris, KY 40361-1167
Brett A Hines Optometry Dr Brett A Hines Psc 1543 Main St, Paris, KY 40361-1203
Angela M Scifres Optometry Dr Brett A Hines Psc 1543 Main St, Paris, KY 40361-1203
Dustin L Arthur Physical Therapy Professional Rehabilitation Associates, Psc 2117 Rocky Dr, Paris, KY 40361-1370
Dannita Crossfield Physical Therapy Professional Rehabilitation Associates, Psc 2117 Rocky Dr, Paris, KY 40361-1370
Braden D Plowman Physical Therapy Professional Rehabilitation Associates, Psc 2117 Rocky Dr, Paris, KY 40361-1370
Candace D Morton Physical Therapy Professional Rehabilitation Associates, Psc 2117 Rocky Dr, Paris, KY 40361-1370
Kimberly R Snapp Clinical Social Worker 2 E 4th St, Paris, KY 40361-1802
Lucinda Kerr Batta Qualified Audiologist Bluegrass Hearing Clinic, LLC 20 E 5th St, Paris, KY 40361-1840
Find all physicians in zip 40361

Competitor

Search similar physicians

City PARIS
Zip Code 40361
Specialty FAMILY MEDICINE
City + Specialty PARIS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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