Lee Moore (NPI# 1326432287, PAC ID# 1951619428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326432287 |
| PAC ID by PECOS | 1951619428 |
| Professional Enrollment ID | I20170424000548 |
| Full Name | Lee Moore |
| Organization Legal Name | TERROS INC |
| Address |
4616 N 51st Ave Phoenix AZ 85031-1720 |
| Phone Number | 6026856000 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224077045 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4616 N 51st Ave, Phoenix, AZ 85031-1720 | 6026856000 | TERROS INC |
| 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 | 6026856000 | TERROS INC |
| 1642 S Priest Dr, Bldg 6 Suite 101, Tempe, AZ 85281-6204 | 6026856000 | TERROS INC |
| 1642 S Priest Dr, Tempe, AZ 85281-6204 | 6026856000 | TERROS INC |
| 918 E Mead Ave, Yakima, WA 98903-3720 | 5094531344 | YAKIMA VALLEY FARM WORKERS CLINIC |
| Organization Legal Name | TERROS INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva Mijares | Nurse Practitioner | Terros Inc | 6153 W Olive Ave, Glendale, AZ 85302-4564 |
| Nicole M Lyons | Nurse Practitioner | Terros Inc | 1642 S Priest Dr, Bldg 6 Suite 101, Tempe, AZ 85281-6204 |
| Rita N Anagho | Nurse Practitioner | Terros Inc | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 |
| Amrita Dhanjal-reddy | Family Practice | Terros Inc | 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 |
| Randy J Brazie | Psychiatry | Terros Inc | 3864 N 27th Ave, Phoenix, AZ 85017-4703 |
| Lea Pannella | Nurse Practitioner | Terros Inc | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 |
| Aida Franco Julian | Psychiatry | Terros Inc | 1642 S Priest Dr, Tempe, AZ 85281-6204 |
| Elissa Beth Lubarsky | Clinical Social Worker | Terros Inc | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 |
| Street Address |
4616 N 51ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip | 85031-1720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reginald M Sutton | Geriatric Medicine | 4616 N 51st Ave, Suite 103, Phoenix, AZ 85031-1720 | |
| Claire E Reece | Nurse Practitioner | Terros, Inc. | 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 |
| Diane T Papke | Psychiatry | Terros, Inc. | 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 |
| Rebecca J Faulkner | Nurse Practitioner | Terros, Inc. | 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 |
| Amrita Dhanjal-reddy | Family Practice | Terros Inc | 4616 N 51st Ave, Suite 108, Phoenix, AZ 85031-1720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luminita Iacob | Physician Assistant | Hetal C. Shah, M.d., P.C. | 4700 N 51st Ave, Suite 5, Phoenix, AZ 85031-1237 |
| Hetal C Shah | Obstetrics/gynecology | Hetal C. Shah, M.d., P.C. | 4700 N 51st Ave, Suite 5, Phoenix, AZ 85031-1237 |
| Nahla Chirco | Nurse Practitioner | 4700 N 51st Ave, Phoenix, AZ 85031-1237 | |
| Julie A Denton | Nurse Practitioner | Hetal C. Shah, M.d., P.C. | 4700 N 51st Ave, Suite 5, Phoenix, AZ 85031-1237 |
| Leonel A Urdaneta | Psychiatry | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Jennifer N Roper | Emergency Medicine | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Bryan E Heidrich | Emergency Medicine | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Brant Jaouen | Emergency Medicine | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Susan A Orsich | Nurse Practitioner | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Thomas Whiting | Emergency Medicine | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Find all physicians in zip 85031 | |||
| City | PHOENIX |
| Zip Code | 85031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHOENIX + 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.