Justin B Moore (NPI# 1922133545, PAC ID# 2668546797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1922133545 |
| PAC ID by PECOS | 2668546797 |
| Professional Enrollment ID | I20080807000126 |
| Full Name | Justin B Moore |
| Organization Legal Name | VIGILIAS LLC |
| Address |
2242 N Redbud Ln Wichita KS 67204-5346 |
| Phone Number | 3165007549700 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9133433279 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171311 | ROOKS COUNTY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2242 N Redbud Ln, Wichita, KS 67204-5346 | 3165007549700 | VIGILIAS LLC |
| Organization Legal Name | VIGILIAS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhanda M Eboh | Psychiatry | Vigilias LLC | 11829 Love Orchid Ln, Las Vegas, NV 89138-6068 |
| Tuan N Nguyen | Cardiovascular Disease (cardiology) | Vigilias LLC | 3721 E Murdock St, Wichita, KS 67208-3017 |
| Elisha N Yaghmai | Internal Medicine | Vigilias LLC | 425 N Belmont Ave, Wichita, KS 67208-3810 |
| Street Address |
2242 N REDBUD LN |
| City | WICHITA |
| State | KS |
| Zip | 67204-5346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawnele D Taylor | Nurse Practitioner | House Call Medical Services | 5721 N Athenian Ave, Wichita, KS 67204-1844 |
| Heather Marie Gaugler | Nurse Practitioner | House Call Medical Services | 5721 N Athenian Ave, Wichita, KS 67204-1844 |
| Mukaila Abiola Kadiri | Nurse Practitioner | House Call Medical Services | 5721 N Athenian Ave, Wichita, KS 67204-1844 |
| Paul Rodriguez | Diagnostic Radiology | Vesta Solutions Group LLC | 4713 N Portwest Cir, Paul Rodriguez, Wichita, KS 67204-2356 |
| Jodi L Metzger | Family Medicine | Newton Healthcare Corporation | 3443 N Amidon Ave, North Amidon Family Physicians, Wichita, KS 67204-4147 |
| Sharon R Norris | Family Medicine | Newton Healthcare Corporation | 3443 N Amidon Ave, North Amidon Family Physicians, Wichita, KS 67204-4147 |
| David M Wall | Family Practice | North Amidon Family Physicians, P.a. | 3443 N Amidon Ave, Wichita, KS 67204-4147 |
| Maureen P Roos | Family Practice | North Amidon Family Physicians, P.a. | 3443 N Amidon Ave, Wichita, KS 67204-4147 |
| William E Laughlin | Chiropractic | 3158 N Mascot Ave, Wichita, KS 67204-4408 | |
| Chadwin L Fleming | Optometry | Wichita Optometry Pa | 2330 N Amidon Ave, Wichita, KS 67204-5630 |
| Find all physicians in zip 67204 | |||
| City | WICHITA |
| Zip Code | 67204 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | WICHITA + ENDOCRINOLOGY |
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| 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.