Marybeth A Moore (NPI# 1033389192, PAC ID# 2466619119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033389192 |
| PAC ID by PECOS | 2466619119 |
| Professional Enrollment ID | I20120426000016 |
| Full Name | Marybeth A Moore |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
406 Farmington Ave Farmington CT 06032-1964 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 406 Farmington Ave, Farmington, CT 06032-1964 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC | |
| 1244 Storrs Rd, Road, Storrs, CT 06268-2200 | 8607242579 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Francis J Mirecki | Cardiovascular Disease (cardiology) | Hartford Healthcare Medical Group Specialists LLC | 8 Vista Dr, Old Lyme, CT 06371-1587 |
| Street Address |
406 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip | 06032-1964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen I Anaedo | Endocrinology | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Catherine Gormley | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Edward A Clerkin Iii | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Erin Cardon | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jaime P Moskowitz | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Roger El-hachem | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Aashish G Samat | Endocrinology | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Megan S Stock | Physician Assistant | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Priya Phulwani | Endocrinology | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Ralph Giarnella | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter G Walden | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Paul R Mitchell | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Farmington, CT 06032 |
| Majida Gaffar | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Mary Ellen Campbell | Registered Dietitian Or Nutrition Professional | 5 Eastview Dr, Farmington, CT 06032-1231 | |
| Carrie L Lukens | Clinical Psychologist | Hartford Hospital | 20 Devonwood Dr, Farmington, CT 06032-1417 |
| Kurt Fuchs | Clinical Social Worker | 2 Forest Park Dr, Farmington, CT 06032-1445 | |
| Sandra R Summer | Clinical Social Worker | 6 Forest Park Dr, Suite 2, Farmington, CT 06032-1467 | |
| Christopher A Wallace | Pathology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Gerard M Nolan | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | |
| Find all physicians in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marybeth A 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.