Gregory Todd Moore (NPI# 1013108653, PAC ID# 1355496597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1013108653 |
| PAC ID by PECOS | 1355496597 |
| Professional Enrollment ID | I20090911000265 |
| Full Name | Gregory Todd Moore |
| Address |
2901 Acme Brick Plz Fort Worth TX 76109-4124 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450880 | BAYLOR SURGICAL HOSPITAL AT FORT WORTH |
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| 450419 | TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE |
| Address | Phone | Organization |
|---|---|---|
| 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 2% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 73% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 2% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Street Address |
2901 ACME BRICK PLZ |
| City | FORT WORTH |
| State | TX |
| Zip | 76109-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Joseph Shaw | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| George Keith Gill | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Jeffrey D Curtis | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Margaret Ann Landon | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Michael H Boothby | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Robert G Viere | Orthopedic Surgery | Texas Spine Consultants, LLP | 2901 Acme Brick Plz, Ft Worth, TX 76109-4124 |
| Michael W Hennessy | Orthopedic Surgery | Texas Spine Consultants, LLP | 2901 Acme Brick Plz, Ft Worth, TX 76109-4124 |
| Bret D Beavers | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anum M Hasan | Physician Assistant | Medspring of Texas Pa | 3701 Vision Dr, Suite 101, Fort Worth, TX 76109-1184 |
| James R Mccarty | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Nancy Smith | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Kathryn C Durham | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Baylen C Bastible | Physician Assistant | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Makeba S Thomas | Nurse Practitioner | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Lacey A Mcdaniel | Physician Assistant | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Rose M Julian | Nurse Practitioner | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Mark A Lindemann | Internal Medicine | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Stephen Daniel Ake | Family Medicine | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1811 | |
| Find all physicians in zip 76109 | |||
| City | FORT WORTH |
| Zip Code | 76109 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT WORTH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Gregory Todd 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.