Latorya D Moore (NPI# 1720593908, PAC ID# 2163785387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720593908 |
| PAC ID by PECOS | 2163785387 |
| Professional Enrollment ID | I20180420000823 |
| Full Name | Latorya D Moore |
| Organization Legal Name | JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC |
| Address |
514 N Brightleaf Blvd Suite 1100 Smithfield NC 27577-4487 |
| Phone Number | 9199892192 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052479979 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340090 | JOHNSTON HEALTH |
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Meadowmont Village Cir, Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 2100 Erwin Rd, Durham, NC 27705-3941 | 9196848111 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 9196848111 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 | 9199892192 | JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC |
| Organization Legal Name | JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Padma R Kamineni | Medical Oncology | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| Russell D Anderson | Internal Medicine | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| Lynn M Scallion | Nurse Practitioner | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| Woodrow Batten | Internal Medicine | Johnston Specialty Physician Services,inc | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Street Address |
514 N BRIGHTLEAF BLVD SUITE 1100 |
| City | SMITHFIELD |
| State | NC |
| Zip | 27577-4487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Padma R Kamineni | Medical Oncology | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| David B Moes | Nurse Practitioner | Unc Physicians Network LLC | 514 N Brightleaf Blvd, Suite 1620, Smithfield, NC 27577-4486 |
| Bessaliea A Griffin | Podiatry | 514 N Brightleaf Blvd, Suite 1610, Smithfield, NC 27577-4486 | |
| Russell D Anderson | Internal Medicine | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| Alani Casey | Registered Dietitian Or Nutrition Professional | Unc Physicians Network LLC | 514 N Brightleaf Blvd, Suite 1610, Smithfield, NC 27577-4486 |
| Lynn M Scallion | Nurse Practitioner | Johnston Specialty Physician Services,inc | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4487 |
| Charles W Scarantino | Radiation Oncology | Smithfield Radiation Oncology LLC | 514 N Brightleaf Blvd, Suite 1200, Smithfield, NC 27577-4486 |
| Martin B Meyerson | Radiation Oncology | Smithfield Radiation Oncology LLC | 514 N Brightleaf Blvd, Suite 1200, Smithfield, NC 27577-4486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Alan Trottman | General Surgery | Rex Hospital Inc | 131 E Market St, Smithfield, NC 27577-3915 |
| Marie L Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | |
| Franklin C Wefald | Cardiovascular Disease (cardiology) | 101 E Market St, Smithfield, NC 27577-3915 | |
| Brandon Keith Woodard | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Efrain Perez | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Jodi L Tholen Bailey | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Manmohan Singh | General Surgery | 713 N St, Smithfield, NC 27577-4019 | |
| Christopher Page Jordan | Gastroenterology | 415 C N 7th St, Smithfield, NC 27577-4043 | |
| Thomas Blackburn Iv | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Daniel Patrick O'dowd | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Find all physicians in zip 27577 | |||
| City | SMITHFIELD |
| Zip Code | 27577 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SMITHFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Latorya D 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.