Amanda Jo Moore (NPI# 1750610812, PAC ID# 1850568478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1750610812 |
| PAC ID by PECOS | 1850568478 |
| Professional Enrollment ID | I20191023000613 |
| Full Name | Amanda Jo Moore |
| Organization Legal Name | SOL CHIROPRACTIC |
| Address |
30 E Lipoa St 4 102 Kihei HI 96753-8122 |
| Phone Number | 7152222800 |
| Gender | F |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3274755863 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 E Lipoa St, 4 102, Kihei, HI 96753-8122 | 7152222800 | SOL CHIROPRACTIC |
| Organization Legal Name | SOL CHIROPRACTIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Gravesen | Chiropractic | Sol Chiropractic | 30 E Lipoa St, 4 102, Kihei, HI 96753-8122 |
| Street Address |
30 E LIPOA ST 4 102 |
| City | KIHEI |
| State | HI |
| Zip | 96753-8122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Gravesen | Chiropractic | Sol Chiropractic | 30 E Lipoa St, 4 102, Kihei, HI 96753-8122 |
| Marc E Kross | General Surgery | 30 E Lipoa St, Unit 4108, Kihei, HI 96753-5821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Maria Frangos | Physical Therapy | 1367 S Kihei Rd, Suite 3111, Kihei, HI 96753-5802 | |
| Kelley Aiyana | Clinical Social Worker | 2511 S Kihei Rd, Suite I, Kihei, HI 96753-6277 | |
| Kevin M Ranken | Psychologist, Clinical | 161 Wailea Ike Pl, Suite A105, Wailea, HI 96753-6502 | |
| Maria-teresa David | Internal Medicine | Wailea Medical Group LLC | 161 Wailea Ike Place, Suite B102, Wailea, HI 96753-6502 |
| Irving W Harper Iii | Internal Medicine | 161 Wailea Ike Place, Suite A104, Wailea, HI 96753-6502 | |
| Larry R Sadler | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 136 Kai La Pl, Kihei, HI 96753-6508 |
| Nagaprasad B Murthi | Psychiatry | 161 Wailea Ike Place, Suite C 104 3, Wailea, HI 96753-6521 | |
| Delanie Williams | Occupational Therapy | Venture Physical Therapy LLC | 101 Kanani Rd, Kihei, HI 96753-6805 |
| Jennifer C Ban | Occupational Therapy | Venture Physical Therapy LLC | 101 Kanani Rd, Kihei, HI 96753-6805 |
| Alyssa Fusco | Physical Therapy | Venture Physical Therapy LLC | 101 Kanani Rd, Kihei, HI 96753-6805 |
| Find all physicians in zip 96753 | |||
| City | KIHEI |
| Zip Code | 96753 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KIHEI + CHIROPRACTIC |
Please comment or provide details below to improve the information on Amanda Jo 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.