Ethel L Moore (NPI# 1053437079, PAC ID# 3779607635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053437079 |
| PAC ID by PECOS | 3779607635 |
| Professional Enrollment ID | I20100830000054 |
| Full Name | Ethel L Moore |
| Organization Legal Name | U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES |
| Address |
669 Agency Main St Harlem MT 59526-9455 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638081623 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271315 | P H S INDIAN HOSPITAL-FT BELKNAP AT HARLEM - CAH |
| 270032 | NORTHERN MONTANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 669 Agency Main St, Harlem, MT 59526-9455 | U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES |
| Organization Legal Name | U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline Elizabeth Powers-peprah | General Practice | U S Health Dept of Health and Human Services | Black Coal Dr Building, Suite 29, Fort Washakie, WY 82514-0128 |
| Luis A Rosa | Emergency Medicine | U S Health Dept of Health and Human Services | 760 Hospital Circle, Browning, MT 59417-0000 |
| Lawrence J Zazzo | General Practice | U S Health Dept of Health and Human Services | 550 6th S Ave, Wolf Point Health Center, Wolf Point, MT 59201-0000 |
| Gregory J Wheeler | Clinical Psychologist | U S Health Dept of Health and Human Services | Black Coal Dr, Fort Washakie, WY 82514 |
| Erin E Neibauer | Nurse Practitioner | U S Health Dept of Health and Human Services | 212 Hwy I 90 Intersection, Crow Agency, MT 59022-9701 |
| Jerry L Foster | Nurse Practitioner | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Thomas L Dolan | Optometry | U S Health Dept of Health and Human Services | 100 Cheyenne Ave, Lame Deer, MT 59043-0000 |
| Barbara S Cohn | Optometry | U S Health Dept of Health and Human Services | 10110 S 7650, Crow Agency, MT 59022-0009 |
| Karen A Nielson-salois | Clinical Psychologist | U S Health Dept of Health and Human Services | 760 Hospital Cir, Browning, MT 59417 |
| Michelle Ligonde-merisio | General Practice | U S Health Dept of Health and Human Services | 550 6th S Ave, Wolf Point Health Center, Wolf Point, MT 59201-0000 |
| Street Address |
669 AGENCY MAIN ST |
| City | HARLEM |
| State | MT |
| Zip | 59526-9455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pedro B Guzman Pisfil | Emergency Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Gregory M Smith | Optometry | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Brian E Reynolds | Family Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| William J Walker | Emergency Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Richard C Moore | Family Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Harvey H Baker | Nurse Practitioner | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Cynthia C Chapman | Psychologist, Clinical | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Farah Lazarre | Nurse Practitioner | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Ali Mastali | General Practice | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Mark A Kearns | Physician Assistant | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly R Mcelroy | Nurse Practitioner | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Ashley Akhter | Nurse Practitioner | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Paula S Bronson Epperson | Clinical Psychologist | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Odinaka A Nwankwo | Emergency Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Richard H Olson | Emergency Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Mary E Pauzauskie | Nurse Practitioner | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Naseem B Razavi | Internal Medicine | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| Navtejpal Singh Kahlon | General Practice | U S Health Dept of Health and Human Services | 669 Agency Main St, Harlem, MT 59526-9455 |
| City | HARLEM |
| Zip Code | 59526 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARLEM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ethel L 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.