Zachary Glenn Moore (NPI# 1437597796, PAC ID# 3173741105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1437597796 |
| PAC ID by PECOS | 3173741105 |
| Professional Enrollment ID | I20140904000404 |
| Full Name | Zachary Glenn Moore |
| Organization Legal Name | LIFESTYLE HEARING CORPORATION USA INC |
| Address |
730 N Summit Blvd Unit 102 Hearing Rehab Center Frisco CO 80443-0000 |
| Phone Number | 8446031517 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 6901106707 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 730 N Summit Blvd Unit, 102 Hearing Rehab Center, Frisco, CO 80443-0000 | 8446031517 | LIFESTYLE HEARING CORPORATION USA INC |
| Organization Legal Name | LIFESTYLE HEARING CORPORATION USA INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine L Jackson | Audiologist | Lifestyle Hearing Corporation Usa Inc | 3917 W Rd, Suite 250, Los Alamos, NM 87544-5302 |
| Suzanne E Jackson | Audiologist | Lifestyle Hearing Corporation Usa Inc | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 |
| Mary Anne Larkin | Audiologist | Lifestyle Hearing Corporation Usa Inc | 23 Main St, Hilton Head, SC 29926-6607 |
| Yun Chih Chen | Audiologist | Lifestyle Hearing Corporation Usa Inc | 100 S Ellsworth Ave, San Mateo, CA 94401-3939 |
| Street Address |
730 N SUMMIT BLVD UNIT 102 HEARING REHAB CENTER |
| City | FRISCO |
| State | CO |
| Zip | 80443-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Ballou | Physician Assistant | Destination Dermatology LLC | 60 Main St H, Renew Dermatology, Frisco, CO 80443 |
| Paul H Cook Jr. | Optometry | 620 Main St B, Frisco, CO 80443 | |
| Jonathan Adam Sherman | Cardiovascular Disease (cardiology) | Vvmc Diversified Services | 323 W Main St, Suite 101, Frisco, CO 80443 |
| Sally K Agnoletto | Certified Registered Nurse Anesthetist (crna) | 842 Summit Blvd, Suite 15, Frisco, CO 80443 | |
| Jennifer V Gotantas | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
| Amy L. Robillard | Nurse Practitioner | Summit Community Care Clinic, Inc. | 360 Peak One Dr, Suite 100, Frisco, CO 80443 |
| Chad Alan Ford | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Annie Bowen | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Scott E Raub | Physical Medicine and Rehabilitation | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Eleanor Lacy Bruin | Clinical Social Worker | Catholic Health Initiatives Colorado | 360 Peak One Dr, 300 Centura Health Physician Group High Country Health, Frisco, CO 80443 |
| Find all physicians in zip 80443 | |||
| City | FRISCO |
| Zip Code | 80443 |
| Specialty | AUDIOLOGIST |
| City + Specialty | FRISCO + AUDIOLOGIST |
Please comment or provide details below to improve the information on Zachary Glenn 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.