Steven M Moore (NPI# 1447409248, PAC ID# 1153480926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1447409248 |
| PAC ID by PECOS | 1153480926 |
| Professional Enrollment ID | I20181101002745 |
| Full Name | Steven M Moore |
| Organization Legal Name | SANDA HEALTHCARE |
| Address |
20 Technology Dr Unit 1 Brattleboro VT 05301-9181 |
| Phone Number | 7192376643 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9234407412 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470011 | BRATTLEBORO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 | 7192376643 | SANDA HEALTHCARE |
| Organization Legal Name | SANDA HEALTHCARE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna G Moore | Chiropractic | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Gwen A Boynton | Clinical Social Worker | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Connor Starr | Chiropractic | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Street Address |
20 TECHNOLOGY DR UNIT 1 |
| City | BRATTLEBORO |
| State | VT |
| Zip | 05301-9181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna G Moore | Chiropractic | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Gwen A Boynton | Clinical Social Worker | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Steven Gruber | Chiropractic | 20 Technology Dr, Suite 4, Brattleboro, VT 05301-9181 | |
| Connor Starr | Chiropractic | Sanda Healthcare | 20 Technology Dr, Unit 1, Brattleboro, VT 05301-9181 |
| Aviva D Wertkin | Family Practice | 20 Technology Dr, Brattleboro, VT 05301-9181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc R Laurens | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Susan M Fields | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Lisa Tallin | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Laura J Kelloway | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| James M Benton | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Jilisa Snyder | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Stephanie Ann Cryer | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Dolores G Kane | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Harvey B Liss | Psychologist, Clinical | 139 Main St, Suite 610, Brattleboro, VT 05301-2800 | |
| Sandra T Campbell | Psychologist, Clinical | 139 Main St, Unit 610, Brattleboro, VT 05301-2800 | |
| Find all physicians in zip 05301 | |||
| City | BRATTLEBORO |
| Zip Code | 05301 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BRATTLEBORO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Steven M Moore.
| 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.