Luke Tae Jong Moore (NPI# 1023452182, PAC ID# 1951674555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1023452182 |
| PAC ID by PECOS | 1951674555 |
| Professional Enrollment ID | I20180727001981 |
| Full Name | Luke Tae Jong Moore |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Address |
3930 Northwood Dr Arden Hills MN 55112-6963 |
| Phone Number | 6514906775 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1759293954 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3930 Northwood Dr, Arden Hills, MN 55112-6963 | 6514906775 | GROUP HEALTH PLAN INC |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Physicians | 1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bisrat Fekadu | Family Medicine | Group Health Plan Inc | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 |
| Rachel Elizabeth Kneeland | Internal Medicine | Group Health Plan Inc | 700 Rivard St, Somerset, WI 54025-7382 |
| Laura Anne Chilson | Nurse Practitioner | Group Health Plan Inc | 1430 Hwy 96 E, White Bear Lake, MN 55110-3653 |
| Brian S Myer | General Surgery | Group Health Plan Inc | 640 Jackson St, Saint Paul, MN 55101-2502 |
| Erin J Schmidt | Family Medicine | Group Health Plan Inc | 700 Wildwood Rd, Mahtomedi, MN 55115-1852 |
| Chad Michael Myeroff | Orthopedic Surgery | Group Health Plan Inc | 435 Phalen Blvd, Saint Paul, MN 55130-5302 |
| Cheryl Settimi | Nurse Practitioner | Group Health Plan Inc | 601 Jacob Ln, Anoka, MN 55303-1621 |
| Jennifer A Novak | Nurse Practitioner | Group Health Plan Inc | 2165 White Bear Ave, Maplewood, MN 55109-2707 |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Divina F. Bikeri | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Street Address |
3930 NORTHWOOD DR |
| City | ARDEN HILLS |
| State | MN |
| Zip | 55112-6963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerri L Haindfield | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Judith A Kuczenski | Nurse Practitioner | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Calla M Hopeman | Nurse Practitioner | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Arthur P Wineman | Family Medicine | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Tswjfwm Vang | Family Medicine | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Ashley Bishop | Family Medicine | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Sarah M Melquist | Nurse Practitioner | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Julie Marie Jasken | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Liu Ying Luo | Internal Medicine | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Kathryn Lynn Dauble | Nurse Practitioner | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol O Lascotte | Chiropractic | 5372 Edgewood Dr, Mounds View, MN 55112-1402 | |
| Gregory B Belting | Chiropractic | 5372 Edgewood Dr, Saint Paul, MN 55112-1402 | |
| Nathan T Hockert | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Bethany Gavic | Clinical Social Worker | Nystrom and Associates, Ltd | 1900 Silver Lake Nwrd, Suite 110, New Brighton, MN 55112-1789 |
| Sheeba Rahman | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Amanda C Drewek | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Kathleen A Spiry | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Lauren N Uslinov | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah G Hanson | Clinical Social Worker | Family Support Services Inc | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah Gross | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Find all physicians in zip 55112 | |||
| City | ARDEN HILLS |
| Zip Code | 55112 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ARDEN HILLS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Luke Tae Jong 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.