Susan U Moore (NPI# 1770593212, PAC ID# 0749387934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770593212 |
| PAC ID by PECOS | 0749387934 |
| Professional Enrollment ID | I20070523000271 |
| Full Name | Susan U Moore |
| Organization Legal Name | FOREST FAMILY CARE INC |
| Address |
1785 W Lee Hwy Wytheville VA 24382-1785 |
| Phone Number | 2762286499 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284769415 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1785 W Lee Hwy, Wytheville, VA 24382-1785 | 2762286499 | FOREST FAMILY CARE INC |
| Organization Legal Name | FOREST FAMILY CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etthan Charles Miller | Nurse Practitioner | Forest Family Care Inc | 1785 W Lee Hwy, Wytheville, VA 24382-1785 |
| Tammy S Terry | Nurse Practitioner | Forest Family Care Inc | 306 S Main St, Rural Retreat, VA 24368-3269 |
| Jill Snider | Nurse Practitioner | Forest Family Care Inc | 306 S Main St, Rural Retreat, VA 24368-3269 |
| Mary Elizabeth Marinus | Nurse Practitioner | Forest Family Care Inc | 1785 W Lee Hwy, Wytheville, VA 24382-1785 |
| Street Address |
1785 W LEE HWY |
| City | WYTHEVILLE |
| State | VA |
| Zip | 24382-1785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etthan Charles Miller | Nurse Practitioner | Forest Family Care Inc | 1785 W Lee Hwy, Wytheville, VA 24382-1785 |
| Mary Elizabeth Marinus | Nurse Practitioner | Forest Family Care Inc | 1785 W Lee Hwy, Wytheville, VA 24382-1785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommi S Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Noah A Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Richard D Brenner | Anesthesiology | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| James C Hataway | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Karl A Ritch | Diagnostic Radiology | Radiology Consultants of Wytheville | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Find all physicians in zip 24382 | |||
| City | WYTHEVILLE |
| Zip Code | 24382 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WYTHEVILLE + NURSE PRACTITIONER |
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| 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.