Phyllis Moore (NPI# 1023374279, PAC ID# 2264694165) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023374279 |
| PAC ID by PECOS | 2264694165 |
| Professional Enrollment ID | I20120509000473 |
| Full Name | Phyllis Moore |
| Address |
600 Main St Friendship TN 38034-1999 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 Main St, Friendship, TN 38034-1999 |
| Street Address |
600 MAIN ST |
| City | FRIENDSHIP |
| State | TN |
| Zip | 38034-1999 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond J Pena | Family Medicine | Soledad Community Health Care District | 600 Main St, Soledad, CA 93960-2533 |
| Juan Roderick B Pagsolingan | Podiatry | Soledad Community Health Care District | 600 Main St, Soledad, CA 93960-2533 |
| Joyce Marianne D Beltran | Family Medicine | Soledad Community Health Care District | 600 Main St, Soledad, CA 93960-2533 |
| Karen J Achtermann | Chiropractic | Achtermann Chiropractic, PC | 600 Main St, Louisville, CO 80027-1828 |
| Jaime Giron | Family Medicine | Soledad Community Health Care District | 600 Main St, Soledad, CA 93960-2533 |
| Penny Stokes | Clinical Social Worker | Tfs of Gurdon Inc | 600 Main St, Suite V, Hot Springs, AR 71913-4964 |
| Martin Achtermann | Chiropractic | Achtermann Chiropractic, PC | 600 Main St, Louisville, CO 80027-1828 |
| Grayson K Phillips | Chiropractic | 600 Main St, Gardendale, AL 35071-4675 | |
| Daniel T Arvold | Chiropractic | 600 Main St, Colfax, WI 54730-9148 | |
| Robert Emmett Farrell | Orthopedic Surgery | Tfs of Gurdon Inc | 600 Main St, Suite V, Hot Springs, AR 71913-4964 |
| Find all physicians in the same address | |||
| City | FRIENDSHIP |
| Zip Code | 38034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRIENDSHIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Phyllis 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.