Charles Kevin Moore (NPI# 1447227285, PAC ID# 2264452648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447227285 |
| PAC ID by PECOS | 2264452648 |
| Professional Enrollment ID | I20110127001211 |
| Full Name | Charles Kevin Moore |
| Organization Legal Name | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| Address |
4605 Maccorkle Ave Sw Suite 5 South Charleston WV 25309-1311 |
| Phone Number | 3047663730 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890897151 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510007 | ST MARY'S MEDICAL CENTER |
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2828 1st Ave, Huntington, WV 25702-1236 | ST. MARY'S MEDICAL MANAGEMENT, LLC | |
| 2900 1st Ave, Huntington, WV 25702-1241 | ST. MARY'S MEDICAL MANAGEMENT, LLC | |
| Us 60 and 4th St Store Room, 6 St Marys Family Care Ceredo, Huntington, WV 25702-1241 | 3044533050 | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| 147 Willow Tree Way, Hurricane, WV 25526-1085 | 3043973002 | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| 1408 Campbell Dr, Suite 202, Ironton, OH 45638-2301 | 7405339750 | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| 4605 Maccorkle Ave Sw, Suite 5, South Charleston, WV 25309-1311 | 3047663730 | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 89% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 54% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 51% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 74% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 73% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 77% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 5% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 3% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 3% |
| Organization Legal Name | ST. MARY'S MEDICAL MANAGEMENT, LLC |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Rebekkah Brumfield | Nurse Practitioner | St. Mary's Medical Management, LLC | 2815 5th Ave, Huntington, WV 25702-1435 |
| Amber N Egan | Nurse Practitioner | St. Mary's Medical Management, LLC | 6475 Farmdale Rd, Barboursville, WV 25504-1321 |
| Ashlee M Blake | Nurse Practitioner | St. Mary's Medical Management, LLC | 6 Chateau Grove Ln, Barboursville, WV 25504-1626 |
| Aamir Cheema | Cardiovascular Disease (cardiology) | St. Mary's Medical Management, LLC | 147 Willow Tree Way, Hurricane, WV 25526-1085 |
| Eric Lee Ping | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Allan Scott Chamberlain | Obstetrics/gynecology | St. Mary's Medical Management, LLC | 143 Peyton St, Barboursville, WV 25504-2063 |
| Albert Jeffrey Kaplan | Nurse Practitioner | St. Mary's Medical Management, LLC | 2860 3rd Ave, Suite 210, Huntington, WV 25702-1453 |
| Janet N Wallace | Family Medicine | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Rachel A Conrad | Nurse Practitioner | St. Mary's Medical Management, LLC | 2900 1st Ave, Suite 30, Huntington, WV 25702-1241 |
| Heather Jasmine Holton | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 |
| Street Address |
4605 MACCORKLE AVE SW SUITE 5 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip | 25309-1311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura D Moon | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Robert H Romaine | Emergency Medicine | Maccorkle Emergency Physicians Pllc | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 |
| Pamela Kay Maddox | Nurse Practitioner | Ths Physician Partners Inc | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 |
| Tammy L Cunningham | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Jennifer L Byus | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Jimi L Baisden | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Jessica Dawn Weese | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Victoria L Mullins | Physician Assistant | Ths Physician Partners Inc | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 |
| Melissa Dawn Price | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Service,inc. | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1398 |
| Bethany Dawn Hoylman | Nurse Practitioner | Ths Physician Partners Inc | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Michael S Dewitt | Family Medicine | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Amy Marie Combs | Physician Assistant | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Gregory Thomas Lagos | Dermatology | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Megan C Evans | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Derek L. Ramsey | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Randi Linn Dillon | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Jacqueline Moore | Physician Assistant | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Michelle Leigh Endicott | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Todd V Kreitzer | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Find all physicians in zip 25309 | |||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTH CHARLESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charles Kevin 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.