Jeremiah S Moore (NPI# 1649656380, PAC ID# 3274843297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1649656380 |
| PAC ID by PECOS | 3274843297 |
| Professional Enrollment ID | I20151103002910 |
| Full Name | Jeremiah S Moore |
| Organization Legal Name | RESOURCE ANESTHESIA, P.C. |
| Address |
2328 Knob Creek Rd Suite 500 Johnson City TN 37604-2585 |
| Phone Number | 4237221310 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1254228141 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 440156 | PARKRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5669 Peachtree Dunwoody, Suite 210, Atlanta, GA 30342-1762 | 6782082130 | JC ANESTHESIA LLC |
| 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 8655468040 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | 7068582000 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| 2328 Knob Creek Rd, Suite 500, Johnson City, TN 37604-2585 | 4237221310 | RESOURCE ANESTHESIA, P.C. |
| 501 20th St, Suite 606, Knoxville, TN 37916-1863 | 8655468040 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| Organization Legal Name | RESOURCE ANESTHESIA, P.C. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Ware | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 7191 S Yale Ave, Tulsa, OK 74136-6326 |
| Todd Clifford Giesecke | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Michael D Hogue | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 550 Fort Loudoun Medical Ctr Dr, Lenoir City, TN 37772-5673 |
| Hazel C Davis | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 550 Fort Loudoun Medical Ctr Dr, Lenoir City, TN 37772-5673 |
| Boyd Myers | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 550 Fort Loudoun Medical Ctr Dr, Lenoir City, TN 37772-5673 |
| Michael Frank | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 435 2nd St, Newport, TN 37821-3703 |
| Todd B Nidiffer | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Elizabeth J Russell | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 550 Fort Loudoun Medical Ctr Dr, Lenoir City, TN 37772-5673 |
| Darren Alex Watson | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 435 2nd St, Newport, TN 37821-3703 |
| Christina A Woods | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 550 Fort Loudoun Medical Ctr Dr, Lenoir City, TN 37772-5673 |
| Street Address |
2328 KNOB CREEK RD SUITE 500 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-2585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Blake Taylor | Ophthalmology | The Reeves Eye Institute | 2328 Knob Creek Rd, Suite 506, Johnson City, TN 37604-2100 |
| Lindsey B Jones | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 2328 Knob Creek Rd, Suite 500, Johnson City, TN 37604-2585 |
| Deborah A Love | Certified Registered Nurse Anesthetist (crna) | 2328 Knob Creek Rd, Johnson City, TN 37604-2584 | |
| Donny L Reeves | Ophthalmology | The Reeves Eye Institute | 2328 Knob Creek Rd, Suite 506, Johnson City, TN 37604-2100 |
| John S Gentry | Optometry | The Reeves Eye Institute | 2328 Knob Creek Rd, Suite 506, Johnson City, TN 37604-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JOHNSON CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.